| Lorraine Kenowski Ma Lpc Pllc | |
|
17 Buckingham Rd Mansfield Center CT 06250-1404 | |
| (860) 335-7624 | |
| Not Available |
| Full Name | Lorraine Kenowski Ma Lpc Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 Buckingham Rd, Mansfield Center, Connecticut |
| Authorized Official Name and Position | Lorraine M Kenowski (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8603357624 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorraine Kenowski Ma Lpc Pllc 17 Buckingham Rd Mansfield Center CT 06250-1404 Ph: (860) 335-7624 | Lorraine Kenowski Ma Lpc Pllc 17 Buckingham Rd Mansfield Center CT 06250-1404 Ph: (860) 335-7624 |
| NPI Number | 1972101319 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972101319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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