Southbury Adolescent And Young Adult Counseling Center Llc | |
519 Heritage Rd Ste 2a5 Southbury CT 06488-6694 | |
(518) 610-4528 | |
Not Available |
Full Name | Southbury Adolescent And Young Adult Counseling Center Llc |
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Speciality | Counselor - Professional |
Location | 519 Heritage Rd Ste 2a5, Southbury, Connecticut |
Authorized Official Name and Position | Brendan Stack (OWNER) |
Authorized Official Contact | 5186104528 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southbury Adolescent And Young Adult Counseling Center Llc 127 Watertown Rd Middlebury CT 06762-1502 Ph: (518) 610-4528 | Southbury Adolescent And Young Adult Counseling Center Llc 519 Heritage Rd Ste 2a5 Southbury CT 06488-6694 Ph: (518) 610-4528 |
NPI Number | 1235737735 |
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Provider Enumeration Date | 10/15/2020 |
Last Update Date | 05/17/2024 |
Certification Date | 05/17/2024 |
Identifier | Type | State | Issuer |
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1235737735 | NPI | - | NPPES |
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