| T.r.u.e. Self Counseling | |
|
642 Hilliard St Ste 1310 Manchester CT 06042-2700 | |
| (860) 461-9209 | |
| (866) 402-8266 |
| Full Name | T.r.u.e. Self Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 642 Hilliard St Ste 1310, Manchester, Connecticut |
| Authorized Official Name and Position | Nicole Wilson-faniel (CLINICIAN/OWNER) |
| Authorized Official Contact | 8604619209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T.r.u.e. Self Counseling 48 Barry Cir Bloomfield CT 06002-1972 Ph: (860) 461-9209 | T.r.u.e. Self Counseling 642 Hilliard St Ste 1310 Manchester CT 06042-2700 Ph: (860) 461-9209 |
| NPI Number | 1730799099 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730799099 | NPI | - | NPPES |
| 008054865 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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