| Alexandra Corriveau Llc | |
|
387c Tuckie Rd North Windham CT 06256-1370 | |
| (860) 576-8236 | |
| (860) 786-7932 |
| Full Name | Alexandra Corriveau Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 387c Tuckie Rd, North Windham, Connecticut |
| Authorized Official Name and Position | Alexandra Corriveau (LPC) |
| Authorized Official Contact | 8605768236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Corriveau Llc 55 E Brown St West Haven CT 06516-5130 Ph: (860) 576-8236 | Alexandra Corriveau Llc 387c Tuckie Rd North Windham CT 06256-1370 Ph: (860) 576-8236 |
| NPI Number | 1982237053 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Certification Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982237053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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