| Linda S Mittenthal Lcsw, Llc | |
|
99 Citizens Dr Glastonbury CT 06033-1262 | |
| (860) 517-6633 | |
| Not Available |
| Full Name | Linda S Mittenthal Lcsw, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 99 Citizens Dr, Glastonbury, Connecticut |
| Authorized Official Name and Position | Maggie Pires (OFFICE MANAGER) |
| Authorized Official Contact | 8605176633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda S Mittenthal Lcsw, Llc 99 Citizens Dr Glastonbury CT 06033-1262 Ph: (860) 517-6633 | Linda S Mittenthal Lcsw, Llc 99 Citizens Dr Glastonbury CT 06033-1262 Ph: (860) 517-6633 |
| NPI Number | 1487284683 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487284683 | NPI | - | NPPES |
| D400415577 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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