| Agnieszka Kulak Lmft Llc | |
|
183 Howe Ave Shelton CT 06484-3323 | |
| (203) 321-3104 | |
| Not Available |
| Full Name | Agnieszka Kulak Lmft Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 183 Howe Ave, Shelton, Connecticut |
| Authorized Official Name and Position | Agnieszka Kulak (OWNER) |
| Authorized Official Contact | 2033213104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agnieszka Kulak Lmft Llc 16 Charles Rd Seymour CT 06483-3810 Ph: (203) 321-3104 | Agnieszka Kulak Lmft Llc 183 Howe Ave Shelton CT 06484-3323 Ph: (203) 321-3104 |
| NPI Number | 1114753266 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/13/2024 |
| Certification Date | 09/13/2024 |
| Medicare PECOS PAC ID | 8921535907 |
|---|---|
| Medicare Enrollment ID | O20250103000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114753266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Agnieszka J Kulak |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538562582 PECOS PAC ID: 1850828880 Enrollment ID: I20250102002041 |
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