| A New Journey Counseling Center Llc | |
| 
					567 Vauxhall Street Ext. Waterford CT 06385-0638  | |
| (860) 608-3404 | |
| Not Available | 
| Full Name | A New Journey Counseling Center Llc | 
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 567 Vauxhall Street Ext., Waterford, Connecticut | 
| Authorized Official Name and Position | Cassidy Donovan (BILLING SPECIALIST) | 
| Authorized Official Contact | 8775359923 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| A New Journey Counseling Center Llc 44 Otis St Norwich CT 06360-4420 Ph: (860) 608-3404  | A New Journey Counseling Center Llc 567 Vauxhall Street Ext. Waterford CT 06385-0638 Ph: (860) 608-3404  | 
| NPI Number | 1154946259 | 
|---|---|
| Provider Enumeration Date | 06/15/2020 | 
| Last Update Date | 06/15/2020 | 
| Certification Date | 06/15/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1154946259 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary | 
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