Pride And Valor Therapy Services Llc | |
62 Newton Ter Waterbury CT 06708-1919 | |
(860) 961-1354 | |
Not Available |
Full Name | Pride And Valor Therapy Services Llc |
---|---|
Speciality | Counselor - Professional |
Location | 62 Newton Ter, Waterbury, Connecticut |
Authorized Official Name and Position | Jesse Miller-khodik (OWNER/CEO) |
Authorized Official Contact | 8609611354 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pride And Valor Therapy Services Llc 62 Newton Ter Waterbury CT 06708-1919 Ph: (860) 961-1354 | Pride And Valor Therapy Services Llc 62 Newton Ter Waterbury CT 06708-1919 Ph: (860) 961-1354 |
NPI Number | 1750144481 |
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Provider Enumeration Date | 02/05/2024 |
Last Update Date | 02/05/2024 |
Certification Date | 02/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750144481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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