| 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 |
|---|---|
| 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 |
|---|---|
| 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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