| Northeast Couple And Family Therapy Llc | |
|
39 1/2 Wedgewood Dr Ste 1023 Jewett City CT 06351-2439 | |
| (860) 497-0024 | |
| Not Available |
| Full Name | Northeast Couple And Family Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 39 1/2 Wedgewood Dr Ste 1023, Jewett City, Connecticut |
| Authorized Official Name and Position | Diana L Cooke (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 8604970024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Couple And Family Therapy Llc 16 Fairway Dr North Grosvenordale CT 06255-1251 Ph: (401) 290-7216 | Northeast Couple And Family Therapy Llc 39 1/2 Wedgewood Dr Ste 1023 Jewett City CT 06351-2439 Ph: (860) 497-0024 |
| NPI Number | 1902498918 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902498918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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