| Supportive Counseling Services | |
|
843 Main St Suite 11 Manchester CT 06040-6020 | |
| (860) 305-6164 | |
| Not Available |
| Full Name | Supportive Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 843 Main St, Manchester, Connecticut |
| Authorized Official Name and Position | Jennifer B Melquist (OWNER) |
| Authorized Official Contact | 8603056164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Counseling Services 41 Kensington St Manchester CT 06040-5421 Ph: (860) 305-6164 | Supportive Counseling Services 843 Main St Suite 11 Manchester CT 06040-6020 Ph: (860) 305-6164 |
| NPI Number | 1386940500 |
|---|---|
| Provider Enumeration Date | 02/05/2011 |
| Last Update Date | 02/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386940500 | NPI | - | NPPES |
| 001277 | Other | CT | CT LICENSED PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 001277 (Connecticut) | Primary |
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