Watertown Wellness Center Llc | |
116 Georgetown Drive Watertown CT 06795 | |
(203) 592-7898 | |
Not Available |
Full Name | Watertown Wellness Center Llc |
---|---|
Speciality | Counselor - Professional |
Location | 116 Georgetown Drive, Watertown, Connecticut |
Authorized Official Name and Position | Laura Anne Manderino (OWNER/LICENSED PSYCHOTHERAPIST) |
Authorized Official Contact | 2035927898 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Watertown Wellness Center Llc 116 Georgetown Dr Watertown CT 06795-3349 Ph: (203) 592-7898 | Watertown Wellness Center Llc 116 Georgetown Drive Watertown CT 06795 Ph: (203) 592-7898 |
NPI Number | 1396232187 |
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Provider Enumeration Date | 04/17/2018 |
Last Update Date | 04/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396232187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 003013 (Connecticut) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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