| Carol Reilly Lcc | |
|
101 Chestnut St Apt H Bethel CT 06801-2660 | |
| (203) 743-6117 | |
| Not Available |
| Full Name | Carol Reilly Lcc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 101 Chestnut St Apt H, Bethel, Connecticut |
| Authorized Official Name and Position | Carol Reilly (COUNSELOR) |
| Authorized Official Contact | 2037436117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Reilly Lcc 101 Chestnut St Apt H Bethel CT 06801-2660 Ph: (203) 743-6117 | Carol Reilly Lcc 101 Chestnut St Apt H Bethel CT 06801-2660 Ph: (203) 743-6117 |
| NPI Number | 1134557689 |
|---|---|
| Provider Enumeration Date | 10/19/2013 |
| Last Update Date | 10/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134557689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001659 (Connecticut) | Primary |
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