| Sandra A Coakley Psychotherapist Llc | |
|
128 Carriage Hill Dr Newington CT 06111-2006 | |
| (203) 886-7836 | |
| Not Available |
| Full Name | Sandra A Coakley Psychotherapist Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 128 Carriage Hill Dr, Newington, Connecticut |
| Authorized Official Name and Position | Sandra A Coakley (OWNER/LPC) |
| Authorized Official Contact | 2038867836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra A Coakley Psychotherapist Llc 128 Carriage Hill Dr Newington CT 06111-2006 Ph: (203) 886-7836 | Sandra A Coakley Psychotherapist Llc 128 Carriage Hill Dr Newington CT 06111-2006 Ph: (203) 886-7836 |
| NPI Number | 1104308923 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104308923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 003350 (Connecticut) | Primary |
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