| Insight Counseling Group, Llc | |
|
261 Bradley St 3rd Floor New Haven CT 06510 | |
| (434) 270-0571 | |
| (434) 595-6198 |
| Full Name | Insight Counseling Group, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 261 Bradley St, New Haven, Connecticut |
| Authorized Official Name and Position | Matthew Vernon Bukowski (OWNER/EMPLOYEE) |
| Authorized Official Contact | 3025934598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Counseling Group, Llc 386 Prospect St Apt A1 New Haven CT 06511-2117 Ph: (302) 593-4598 | Insight Counseling Group, Llc 261 Bradley St 3rd Floor New Haven CT 06510 Ph: (434) 270-0571 |
| NPI Number | 1700424967 |
|---|---|
| Provider Enumeration Date | 12/18/2019 |
| Last Update Date | 03/04/2021 |
| Certification Date | 02/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700424967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 251X00000X | Supports Brokerage | (* (Not Available)) | Secondary |
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