| Blackwell Counseling | |
|
2945 Main St Ste A Stratford CT 06614-4978 | |
| (203) 814-2176 | |
| Not Available |
| Full Name | Blackwell Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2945 Main St Ste A, Stratford, Connecticut |
| Authorized Official Name and Position | Thomas Blackwell (OWNER) |
| Authorized Official Contact | 2038142176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackwell Counseling 80 Virginia Ave Bridgeport CT 06610-1506 Ph: (203) 814-2176 | Blackwell Counseling 2945 Main St Ste A Stratford CT 06614-4978 Ph: (203) 814-2176 |
| NPI Number | 1699319152 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 07/22/2020 |
| Certification Date | 07/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699319152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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