Gent Daniels, Lcsw | |
30 Hazel Ter Ste A Woodbridge CT 06525-2240 | |
(203) 506-1186 | |
Not Available |
Full Name | Gent Daniels, Lcsw |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 30 Hazel Ter Ste A, Woodbridge, Connecticut |
Authorized Official Name and Position | Gent Daniels (CLINICIAN) |
Authorized Official Contact | 2036067837 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gent Daniels, Lcsw 75 Frederick St New Haven CT 06515-1523 Ph: (203) 606-7837 | Gent Daniels, Lcsw 30 Hazel Ter Ste A Woodbridge CT 06525-2240 Ph: (203) 506-1186 |
NPI Number | 1609547298 |
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Provider Enumeration Date | 09/23/2021 |
Last Update Date | 09/23/2021 |
Certification Date | 09/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609547298 | NPI | - | NPPES |
1679920656 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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