| J Crego Lcsw Llc | |
|
262 Marlborough St Ste 206 Portland CT 06480-1901 | |
| (203) 768-9808 | |
| Not Available |
| Full Name | J Crego Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 262 Marlborough St Ste 206, Portland, Connecticut |
| Authorized Official Name and Position | Jose Eduardo Crego (MEMBER) |
| Authorized Official Contact | 2037689808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Crego Lcsw Llc 40 Sunrise Ln East Hampton CT 06424-1466 Ph: (203) 768-9808 | J Crego Lcsw Llc 262 Marlborough St Ste 206 Portland CT 06480-1901 Ph: (203) 768-9808 |
| NPI Number | 1336941244 |
|---|---|
| Provider Enumeration Date | 03/24/2025 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336941244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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