| Renew Counseling Associates | |
|
455 Old Long Ridge Rd Stamford CT 06903-1112 | |
| (187) 784-7363 | |
| Not Available |
| Full Name | Renew Counseling Associates |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 455 Old Long Ridge Rd, Stamford, Connecticut |
| Authorized Official Name and Position | Duane Kellogg (CLINICAL DIRECTOR) |
| Authorized Official Contact | 18778473639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Counseling Associates 8 Wakeman Rd Fairfield CT 06824-5120 Ph: (203) 255-5078 | Renew Counseling Associates 455 Old Long Ridge Rd Stamford CT 06903-1112 Ph: (187) 784-7363 |
| NPI Number | 1316265143 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 05/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316265143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001291 (Connecticut) | Primary |
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