Frederick L Morin Lpc | |
554 Liberty Hwy Ste 6 Putnam CT 06260-2728 | |
(860) 522-8241 | |
Not Available |
Full Name | Frederick L Morin Lpc |
---|---|
Speciality | Counselor |
Location | 554 Liberty Hwy Ste 6, Putnam, Connecticut |
Authorized Official Name and Position | Frederick Morin (OWNER) |
Authorized Official Contact | 8605228241 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Frederick L Morin Lpc 554 Liberty Hwy Ste 6 Putnam CT 06260-2728 Ph: (860) 522-8241 | Frederick L Morin Lpc 554 Liberty Hwy Ste 6 Putnam CT 06260-2728 Ph: (860) 522-8241 |
NPI Number | 1841056413 |
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Provider Enumeration Date | 02/22/2024 |
Last Update Date | 02/22/2024 |
Certification Date | 02/22/2024 |
Medicare PECOS PAC ID | 1153863170 |
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Medicare Enrollment ID | O20240606000031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841056413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Frederick L Morin |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932588019 PECOS PAC ID: 2062954084 Enrollment ID: I20240606000045 |
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