| Jonathan Stern, M.s., L.p.c., L.a.d.c., Counseling And Psychotherapy S | |
|
2911 Dixwell Ave Suite B-5 Hamden CT 06518-3195 | |
| (203) 916-5496 | |
| (203) 265-1216 |
| Full Name | Jonathan Stern, M.s., L.p.c., L.a.d.c., Counseling And Psychotherapy S |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2911 Dixwell Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Jonathan David Stern (OWNER) |
| Authorized Official Contact | 2032139987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Stern, M.s., L.p.c., L.a.d.c., Counseling And Psychotherapy S 2911 Dixwell Ave Suite B-5 Hamden CT 06518-3195 Ph: (203) 916-5496 | Jonathan Stern, M.s., L.p.c., L.a.d.c., Counseling And Psychotherapy S 2911 Dixwell Ave Suite B-5 Hamden CT 06518-3195 Ph: (203) 916-5496 |
| NPI Number | 1316289531 |
|---|---|
| Provider Enumeration Date | 03/26/2013 |
| Last Update Date | 03/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316289531 | NPI | - | NPPES |
| 12094074 | Other | CT | CAQH |
| 004235918 | Medicaid | CT | |
| 1018781 | Other | CT | CIGNA PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001882 (Connecticut) | Primary |
| 251S00000X | Community/behavioral Health | 000823 (Connecticut) | Secondary |
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