| Dungarvin Connecticut, Llc | |
|
19 Kensington Lane Rocky Hills CT 06067-3526 | |
| (860) 257-1556 | |
| (860) 257-3024 |
| Full Name | Dungarvin Connecticut, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 19 Kensington Lane, Rocky Hills, Connecticut |
| Authorized Official Name and Position | Lori Kress (CEO) |
| Authorized Official Contact | 6516990206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dungarvin Connecticut, Llc 1444 Northland Dr Ste 200 Mendota Heights MN 55120-1032 Ph: (651) 699-0206 | Dungarvin Connecticut, Llc 19 Kensington Lane Rocky Hills CT 06067-3526 Ph: (860) 257-1556 |
| NPI Number | 1790157899 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790157899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 000421 (Connecticut) | Primary |