| Creative Coaching And Addiction Counseling Llc | |
|
998 Farmington Ave 106a Ll West Hartford CT 06107-2162 | |
| (602) 391-3589 | |
| Not Available |
| Full Name | Creative Coaching And Addiction Counseling Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 998 Farmington Ave, West Hartford, Connecticut |
| Authorized Official Name and Position | Jack Ryan (THERAPIST/MANAGER) |
| Authorized Official Contact | 6023913589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Coaching And Addiction Counseling Llc 53 Manor Ln South Windsor CT 06074-3214 Ph: (602) 391-3589 | Creative Coaching And Addiction Counseling Llc 998 Farmington Ave 106a Ll West Hartford CT 06107-2162 Ph: (602) 391-3589 |
| NPI Number | 1548712730 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548712730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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