| Epiphany Counseling Service | |
|
30 Beach Rd Suite 3 Wolcott CT 06716-1902 | |
| (203) 390-1468 | |
| Not Available |
| Full Name | Epiphany Counseling Service |
|---|---|
| Speciality | Counselor - Professional |
| Location | 30 Beach Rd, Wolcott, Connecticut |
| Authorized Official Name and Position | Jada I Brown (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 2033901468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epiphany Counseling Service 30 Beach Rd Suite 3 Wolcott CT 06716-1902 Ph: (203) 390-1468 | Epiphany Counseling Service 30 Beach Rd Suite 3 Wolcott CT 06716-1902 Ph: (203) 390-1468 |
| NPI Number | 1760918601 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760918601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002489 (Connecticut) | Primary |
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