COMMUNITY COUNSELING CENTER OF CENTRAL CT INC NPI 1760541510

NPI Information

NPI: 1760541510
Provider Name: COMMUNITY COUNSELING CENTER OF CENTRAL CT INC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
53 MUIR AVE
BRISTOL, CT
ZIP 06010
Phone: (860) 582-7904
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COMMUNITY COUNSELING CENTER OF CENTRAL CT INC is a professional counselor in Bristol, CT. COMMUNITY COUNSELING CENTER OF CENTRAL CT INC NPI is 1760541510. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

53 MUIR AVE
BRISTOL, CT
ZIP 06010-215
Phone: (860) 582-7904
Fax: (860) 582-4350

The provider's authorized official is Warren Corson .
The authorized official title is Executive & Clinical Director and has the following contact phone number (860) 582-7904.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 8/22/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	001465	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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