| Ursula.l.chock-harris,lcsw, P.c. | |
|
451 State St North Haven CT 06473-3070 | |
| (860) 951-4530 | |
| Not Available |
| Full Name | Ursula.l.chock-harris,lcsw, P.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 451 State St, North Haven, Connecticut |
| Authorized Official Name and Position | Ursula Lin-oi Chock-harris (CLINICIAN/OWNER) |
| Authorized Official Contact | 8609514530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ursula.l.chock-harris,lcsw, P.c. 14 Wiggins Farm Dr Unit E Simsbury CT 06070-2489 Ph: (860) 951-4530 | Ursula.l.chock-harris,lcsw, P.c. 451 State St North Haven CT 06473-3070 Ph: (860) 951-4530 |
| NPI Number | 1164808226 |
|---|---|
| Provider Enumeration Date | 07/30/2015 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164808226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 004791 (Connecticut) | Primary |
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