| Andrew Wagenseller Lcsw, Llc | |
|
2507 Post Rd Fl 3 Southport CT 06890-1259 | |
| (203) 307-5330 | |
| Not Available |
| Full Name | Andrew Wagenseller Lcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2507 Post Rd Fl 3, Southport, Connecticut |
| Authorized Official Name and Position | Andrew Wagenseller (MANAGER) |
| Authorized Official Contact | 2034346907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Wagenseller Lcsw, Llc 78 Centerbrook Rd Fairfield CT 06824-3404 Ph: (203) 434-6907 | Andrew Wagenseller Lcsw, Llc 2507 Post Rd Fl 3 Southport CT 06890-1259 Ph: (203) 307-5330 |
| NPI Number | 1942078787 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942078787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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