| Farmington Valley Counseling Center Llc | |
|
111 Simsbury Rd Ste 104 Avon CT 06001-3763 | |
| (860) 255-4017 | |
| Not Available |
| Full Name | Farmington Valley Counseling Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 Simsbury Rd Ste 104, Avon, Connecticut |
| Authorized Official Name and Position | Marla Dakin (MANAGING MEMBER) |
| Authorized Official Contact | 8602554017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington Valley Counseling Center Llc 111 Simsbury Rd Ste 104 Avon CT 06001-3763 Ph: (860) 255-4017 | Farmington Valley Counseling Center Llc 111 Simsbury Rd Ste 104 Avon CT 06001-3763 Ph: (860) 255-4017 |
| NPI Number | 1548734791 |
|---|---|
| Provider Enumeration Date | 01/21/2019 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548734791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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