ADULT CHILD AND FAMILY PSYCHOTHERAPY NPI 1225693369

NPI Information

ADULT, CHILD AND FAMILY PSYCHOTHERAPY is a mental health counselor in Stratford, CT. ADULT, CHILD AND FAMILY PSYCHOTHERAPY NPI is 1225693369. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3095 MAIN ST FL 2
STRATFORD, CT
ZIP 06614-852
Phone: (475) 777-6301
Fax: (800) 566-1452

The provider's authorized official is Tameria Macari .
The authorized official title is Clinical Director and has the following contact phone number (475) 777-6301.

The enumeration date for this NPI number is 5/3/2019 and was last updated on 5/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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