| Western Connecticut Counseling Llc | |
|
33 Bullet Hill Rd Ste 216 Southbury CT 06488-4699 | |
| (203) 673-1099 | |
| Not Available |
| Full Name | Western Connecticut Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 33 Bullet Hill Rd Ste 216, Southbury, Connecticut |
| Authorized Official Name and Position | Jason Gray (OWNER) |
| Authorized Official Contact | 2036731099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Connecticut Counseling Llc 28 Church Rd Apt A1 Southbury CT 06488-3890 Ph: (203) 673-1099 | Western Connecticut Counseling Llc 33 Bullet Hill Rd Ste 216 Southbury CT 06488-4699 Ph: (203) 673-1099 |
| NPI Number | 1821746876 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Medicare PECOS PAC ID | 7315383288 |
|---|---|
| Medicare Enrollment ID | O20240313004228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821746876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Julie A Denicola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922320258 PECOS PAC ID: 1557498797 Enrollment ID: I20100421000004 |
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