Overcoming And Evolving Llc | |
2 Forest Hills Dr Avon CT 06001-3503 | |
(860) 268-8046 | |
Not Available |
Full Name | Overcoming And Evolving Llc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 2 Forest Hills Dr, Avon, Connecticut |
Authorized Official Name and Position | Ishona D Caputo (MARRIAGE AND FAMILY THERAPIST) |
Authorized Official Contact | 8602688046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Overcoming And Evolving Llc 2 Forest Hills Dr Avon CT 06001-3503 Ph: (860) 268-8046 | Overcoming And Evolving Llc 2 Forest Hills Dr Avon CT 06001-3503 Ph: (860) 268-8046 |
NPI Number | 1366064222 |
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Provider Enumeration Date | 05/14/2020 |
Last Update Date | 05/14/2020 |
Certification Date | 05/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366064222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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