| North Central Connecticut Psychotherapy Pc | |
|
880 Burbank Ave Suffield CT 06078-1459 | |
| (413) 478-1764 | |
| Not Available |
| Full Name | North Central Connecticut Psychotherapy Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 880 Burbank Ave, Suffield, Connecticut |
| Authorized Official Name and Position | Amy C Aliengena (CEO) |
| Authorized Official Contact | 4134781764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Connecticut Psychotherapy Pc 1 Eastwood Dr Wilbraham MA 01095-2111 Ph: () - | North Central Connecticut Psychotherapy Pc 880 Burbank Ave Suffield CT 06078-1459 Ph: (413) 478-1764 |
| NPI Number | 1205357134 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 07/11/2024 |
| Certification Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205357134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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