| Frederick L Morin LPC | |
|
554 Liberty Hwy Ste 6 Putnam CT 06260-2728 | |
| (860) 522-8241 | |
| Not Available |
| Full Name | Frederick L Morin LPC |
|---|---|
| Speciality | Counselor |
| Location | 554 Liberty Hwy Ste 6, Putnam, Connecticut |
| Authorized Official Name and Position | Frederick Morin (OWNER) |
| Authorized Official Contact | 8605228241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick L Morin LPC 554 Liberty Hwy Ste 6 Putnam CT 06260-2728 Ph: (860) 522-8241 | Frederick L Morin LPC 554 Liberty Hwy Ste 6 Putnam CT 06260-2728 Ph: (860) 522-8241 |
| NPI Number | 1841056413 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 1153863170 |
|---|---|
| Medicare Enrollment ID | O20240606000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841056413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
| Provider Name | Frederick L Morin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932588019 PECOS PAC ID: 2062954084 Enrollment ID: I20240606000045 |
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