| Systemic Counseling Services, Llc | |
|
357 Whitney Ave C/o Lovins Group New Haven CT 06511-2364 | |
| (203) 233-9179 | |
| (203) 624-7599 |
| Full Name | Systemic Counseling Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 357 Whitney Ave, New Haven, Connecticut |
| Authorized Official Name and Position | Donald Patrick Opatrny (OWNER/MEMBER) |
| Authorized Official Contact | 2032339179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Systemic Counseling Services, Llc 357 Whitney Ave C/o Lovins Group New Haven CT 06511-2364 Ph: (203) 233-9179 | Systemic Counseling Services, Llc 357 Whitney Ave C/o Lovins Group New Haven CT 06511-2364 Ph: (203) 233-9179 |
| NPI Number | 1497029961 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497029961 | NPI | - | NPPES |
| 001051 | Other | CT | STATE OF CT DEPT OF PUBLIC HEALTH LICENSE NUMBER - MFT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Connecticut) | Secondary |
| 106H00000X | Marriage & Family Therapist | (Connecticut) | Primary |
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