| Coreen Rogers Llc | |
|
255 Hebron Ave Glastonbury CT 06033-2116 | |
| (860) 368-0112 | |
| Not Available |
| Full Name | Coreen Rogers Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 255 Hebron Ave, Glastonbury, Connecticut |
| Authorized Official Name and Position | Coreen Rogers (LCSW) |
| Authorized Official Contact | 8609833207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coreen Rogers Llc 37 Warner Pond Ln Hebron CT 06248-1370 Ph: (860) 228-1165 | Coreen Rogers Llc 255 Hebron Ave Glastonbury CT 06033-2116 Ph: (860) 368-0112 |
| NPI Number | 1194349316 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 06/03/2020 |
| Certification Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194349316 | NPI | - | NPPES |
| 1558717256 | Other | CT | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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