| Katherine Chesanek Lcsw Llc | |
|
225 Farm Hill Road Middletown CT 06457 | |
| (860) 463-0080 | |
| Not Available |
| Full Name | Katherine Chesanek Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 225 Farm Hill Road, Middletown, Connecticut |
| Authorized Official Name and Position | Katherine Chesanek (OWNER) |
| Authorized Official Contact | 8604630080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Chesanek Lcsw Llc 225 Farm Hill Road Middletown CT 06457 Ph: (860) 463-0080 | Katherine Chesanek Lcsw Llc 225 Farm Hill Road Middletown CT 06457 Ph: (860) 463-0080 |
| NPI Number | 1225629397 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225629397 | NPI | - | NPPES |
| 03282020701953 | Other | CT | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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