| Pequot Counseling Center, Llc | |
|
230 Prospect Hill Rd Groton CT 06340-5545 | |
| (860) 536-2794 | |
| (860) 536-2794 |
| Full Name | Pequot Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 230 Prospect Hill Rd, Groton, Connecticut |
| Authorized Official Name and Position | Kristin Lincoln (OWNER/PRESIDENT) |
| Authorized Official Contact | 8605362794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pequot Counseling Center, Llc 230 Prospect Hill Rd Groton CT 06340-5545 Ph: (860) 536-2794 | Pequot Counseling Center, Llc 230 Prospect Hill Rd Groton CT 06340-5545 Ph: (860) 536-2794 |
| NPI Number | 1366760605 |
|---|---|
| Provider Enumeration Date | 05/11/2010 |
| Last Update Date | 05/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366760605 | NPI | - | NPPES |
| 1962432872 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CT 000170 (Connecticut) | Primary |
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