| Corliss J Racsko, Lpc, Pc | |
|
324 Elm St Ste 202b Monroe CT 06468-2284 | |
| (203) 268-8293 | |
| Not Available |
| Full Name | Corliss J Racsko, Lpc, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 324 Elm St Ste 202b, Monroe, Connecticut |
| Authorized Official Name and Position | Corliss Racsko (PRESIDENT) |
| Authorized Official Contact | 2032688293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corliss J Racsko, Lpc, Pc Po Box 45 Monroe CT 06468-0045 Ph: () - | Corliss J Racsko, Lpc, Pc 324 Elm St Ste 202b Monroe CT 06468-2284 Ph: (203) 268-8293 |
| NPI Number | 1861292575 |
|---|---|
| Provider Enumeration Date | 03/13/2025 |
| Last Update Date | 03/13/2025 |
| Certification Date | 03/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861292575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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