| Kab Counseling Services Pllc | |
|
567 Vauxhall St Ext Suite 207 Waterford CT 06385 | |
| (860) 886-3507 | |
| (860) 540-1306 |
| Full Name | Kab Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 567 Vauxhall St Ext, Waterford, Connecticut |
| Authorized Official Name and Position | Alan Wilfred Bonin (OWNER/PROVIDER) |
| Authorized Official Contact | 4012061531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kab Counseling Services Pllc 392 Starkweather Rd Plainfield CT 06374-1749 Ph: (860) 886-3507 | Kab Counseling Services Pllc 567 Vauxhall St Ext Suite 207 Waterford CT 06385 Ph: (860) 886-3507 |
| NPI Number | 1043996374 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 3678926805 |
|---|---|
| Medicare Enrollment ID | O20240124002305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043996374 | NPI | - | NPPES |
| Provider Name | Alan Wilfred Bonin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962893305 PECOS PAC ID: 1850744095 Enrollment ID: I20240124002485 |
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