| Adult, Child And Family Psychotherapy | |
|
3095 Main St Fl 2 Stratford CT 06614-4852 | |
| (475) 777-6301 | |
| (800) 566-1452 |
| Full Name | Adult, Child And Family Psychotherapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3095 Main St Fl 2, Stratford, Connecticut |
| Authorized Official Name and Position | Tameria Macari (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4757776301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult, Child And Family Psychotherapy 3095 Main St Fl 2 Stratford CT 06614-4852 Ph: (475) 777-6301 | Adult, Child And Family Psychotherapy 3095 Main St Fl 2 Stratford CT 06614-4852 Ph: (475) 777-6301 |
| NPI Number | 1225693369 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225693369 | NPI | - | NPPES |
| 008068250 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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