| Existential Counseling And Consulting Services | |
|
420 Somers Rd Unit 2a Ellington CT 06029-2629 | |
| (203) 648-1054 | |
| Not Available |
| Full Name | Existential Counseling And Consulting Services |
|---|---|
| Speciality | Counselor |
| Location | 420 Somers Rd Unit 2a, Ellington, Connecticut |
| Authorized Official Name and Position | Jose Alberto Valentin (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2036481054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Existential Counseling And Consulting Services Po Box 83 Ellington CT 06029-0083 Ph: (203) 648-1054 | Existential Counseling And Consulting Services 420 Somers Rd Unit 2a Ellington CT 06029-2629 Ph: (203) 648-1054 |
| NPI Number | 1760107528 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Medicare PECOS PAC ID | 7315399391 |
|---|---|
| Medicare Enrollment ID | O20240115001735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760107528 | NPI | - | NPPES |
| Provider Name | Idalia Centeno-diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225536519 PECOS PAC ID: 3870978794 Enrollment ID: I20230831004247 |
| Provider Name | Jose Alberto Valentin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902333172 PECOS PAC ID: 8224480207 Enrollment ID: I20240115001809 |
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