North Central Connecticut Psychotherapy | |
230b Mountain Rd Suffield CT 06078-2094 | |
(413) 478-1764 | |
Not Available |
Full Name | North Central Connecticut Psychotherapy |
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Speciality | Counselor - Mental Health |
Location | 230b Mountain Rd, Suffield, Connecticut |
Authorized Official Name and Position | Amy Cathryn Aliengena (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 4134781764 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Central Connecticut Psychotherapy Po Box 574 Suffield CT 06078-0574 Ph: (413) 478-1764 | North Central Connecticut Psychotherapy 230b Mountain Rd Suffield CT 06078-2094 Ph: (413) 478-1764 |
NPI Number | 1053674127 |
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Provider Enumeration Date | 06/22/2012 |
Last Update Date | 06/22/2012 |
Identifier | Type | State | Issuer |
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1053674127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 001395 (Connecticut) | Primary |
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