| Endeavors Counseling Llc | |
|
35 Tollgate Ln Avon CT 06001-2334 | |
| (860) 882-9287 | |
| Not Available |
| Full Name | Endeavors Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 35 Tollgate Ln, Avon, Connecticut |
| Authorized Official Name and Position | Allison Polesel (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8608829287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavors Counseling Llc 35 Tollgate Ln Avon CT 06001-2334 Ph: (860) 882-9287 | Endeavors Counseling Llc 35 Tollgate Ln Avon CT 06001-2334 Ph: (860) 882-9287 |
| NPI Number | 1316793466 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 2062954449 |
|---|---|
| Medicare Enrollment ID | O20240613000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316793466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Allison Polesel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508233602 PECOS PAC ID: 8729385570 Enrollment ID: I20160323000406 |
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