| Jane R. Cooper Counseling & Psychotherapy, Pllc | |
|
302 Founders Rd Glastonbury CT 06033-3210 | |
| (860) 638-9966 | |
| Not Available |
| Full Name | Jane R. Cooper Counseling & Psychotherapy, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 302 Founders Rd, Glastonbury, Connecticut |
| Authorized Official Name and Position | Jane Roberta Cooper (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8606389966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane R. Cooper Counseling & Psychotherapy, Pllc 302 Founders Rd Glastonbury CT 06033-3210 Ph: (860) 638-9966 | Jane R. Cooper Counseling & Psychotherapy, Pllc 302 Founders Rd Glastonbury CT 06033-3210 Ph: (860) 638-9966 |
| NPI Number | 1346095007 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 0941641120 |
|---|---|
| Medicare Enrollment ID | O20240520000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346095007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jane Roberta Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093891327 PECOS PAC ID: 6103268396 Enrollment ID: I20240520001633 |
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