Professional Family Therapy-llc | |
222 Mckee St Manchester CT 06040-4800 | |
(844) 584-3727 | |
Not Available |
Full Name | Professional Family Therapy-llc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 222 Mckee St, Manchester, Connecticut |
Authorized Official Name and Position | Christopher Robert Dumas (SOLE PROPRIETOR/OWNER) |
Authorized Official Contact | 8602819588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Professional Family Therapy-llc 222 Mckee St Manchester CT 06040-4800 Ph: (844) 584-3727 | Professional Family Therapy-llc 222 Mckee St Manchester CT 06040-4800 Ph: (844) 584-3727 |
NPI Number | 1407227812 |
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Provider Enumeration Date | 10/12/2015 |
Last Update Date | 10/12/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407227812 | NPI | - | NPPES |
004025029 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 000873 (Connecticut) | Primary |
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