| Metamorphosis Counseling Services, Llc | |
|
106 Farmington Ave Ste 2b New Britain CT 06053-2977 | |
| (860) 902-7050 | |
| (860) 902-7050 |
| Full Name | Metamorphosis Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 106 Farmington Ave Ste 2b, New Britain, Connecticut |
| Authorized Official Name and Position | Dennisse Vazquez (LICENSED DRUG AND ALCOHOL COUNSELOR) |
| Authorized Official Contact | 8609027050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Counseling Services, Llc 106 Farmington Ave Ste 2b New Britain CT 06053-2977 Ph: (860) 902-7050 | Metamorphosis Counseling Services, Llc 106 Farmington Ave Ste 2b New Britain CT 06053-2977 Ph: (860) 902-7050 |
| NPI Number | 1871003293 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 10/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871003293 | NPI | - | NPPES |
| 008038649 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000883 (Connecticut) | Primary |
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