| Ezzedine Counseling Services, Llc | |
|
21 Lewis St Wethersfield CT 06109-1620 | |
| (215) 706-9914 | |
| Not Available |
| Full Name | Ezzedine Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 21 Lewis St, Wethersfield, Connecticut |
| Authorized Official Name and Position | Lori Ezzedine (OWNER) |
| Authorized Official Contact | 2157069914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ezzedine Counseling Services, Llc Po Box 276 Old Saybrook CT 06475-0276 Ph: (215) 706-9914 | Ezzedine Counseling Services, Llc 21 Lewis St Wethersfield CT 06109-1620 Ph: (215) 706-9914 |
| NPI Number | 1376295154 |
|---|---|
| Provider Enumeration Date | 01/22/2022 |
| Last Update Date | 01/22/2022 |
| Certification Date | 01/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376295154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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