| Fundamental Family Therapy, Llc | |
|
246 Wolcott Rd Wolcott CT 06716-2641 | |
| (203) 206-2784 | |
| Not Available |
| Full Name | Fundamental Family Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 246 Wolcott Rd, Wolcott, Connecticut |
| Authorized Official Name and Position | Jaime Rodriguez (OWNER) |
| Authorized Official Contact | 2032062784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fundamental Family Therapy, Llc Po Box 11406 Waterbury CT 06703-0406 Ph: (203) 206-2784 | Fundamental Family Therapy, Llc 246 Wolcott Rd Wolcott CT 06716-2641 Ph: (203) 206-2784 |
| NPI Number | 1881079820 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881079820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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