Fairfield County Child And Adolescent Therapy, Llc | |
34 Sherman Ct Fairfield CT 06824-5826 | |
(203) 260-1918 | |
Not Available |
Full Name | Fairfield County Child And Adolescent Therapy, Llc |
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Speciality | Counselor - Professional |
Location | 34 Sherman Ct, Fairfield, Connecticut |
Authorized Official Name and Position | Kristen Marie Peck (LPC THERAPIST) |
Authorized Official Contact | 2032601918 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fairfield County Child And Adolescent Therapy, Llc 102 Wheeler Rd Monroe CT 06468-2428 Ph: (203) 260-1918 | Fairfield County Child And Adolescent Therapy, Llc 34 Sherman Ct Fairfield CT 06824-5826 Ph: (203) 260-1918 |
NPI Number | 1558762807 |
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Provider Enumeration Date | 09/05/2014 |
Last Update Date | 09/06/2014 |
Identifier | Type | State | Issuer |
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1558762807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2603 (Connecticut) | Primary |
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