| Naza Bungu Llc | |
|
840 Boston Post Rd West Haven CT 06516-1847 | |
| (203) 445-6593 | |
| Not Available |
| Full Name | Naza Bungu Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 840 Boston Post Rd, West Haven, Connecticut |
| Authorized Official Name and Position | Naza Bungu (COUNSELOR/ OWNER) |
| Authorized Official Contact | 2038489350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Naza Bungu Llc 840 Boston Post Rd Ste 5 West Haven CT 06516-1848 Ph: (203) 445-6593 | Naza Bungu Llc 840 Boston Post Rd West Haven CT 06516-1847 Ph: (203) 445-6593 |
| NPI Number | 1205481991 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205481991 | NPI | - | NPPES |
| 8045424 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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