| Fairfield County Counseling | |
|
60 Katona Dr Ste 22 Fairfield CT 06824-3544 | |
| (203) 605-2571 | |
| Not Available |
| Full Name | Fairfield County Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 60 Katona Dr Ste 22, Fairfield, Connecticut |
| Authorized Official Name and Position | Ashley Boland (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2036052571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield County Counseling 54 Andrews Ave Milford CT 06460-5816 Ph: () - | Fairfield County Counseling 60 Katona Dr Ste 22 Fairfield CT 06824-3544 Ph: (203) 605-2571 |
| NPI Number | 1700314606 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 05/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700314606 | NPI | - | NPPES |
| 1154708857 | Medicaid | CT | |
| 1184088700 | Medicaid | CT | |
| 1427408079 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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