| Overcoming And Evolving Llc | |
|
2 Forest Hills Dr Avon CT 06001-3503 | |
| (860) 268-8046 | |
| Not Available |
| Full Name | Overcoming And Evolving Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2 Forest Hills Dr, Avon, Connecticut |
| Authorized Official Name and Position | Ishona D Caputo (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 8602688046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Overcoming And Evolving Llc 2 Forest Hills Dr Avon CT 06001-3503 Ph: (860) 268-8046 | Overcoming And Evolving Llc 2 Forest Hills Dr Avon CT 06001-3503 Ph: (860) 268-8046 |
| NPI Number | 1366064222 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 05/14/2020 |
| Certification Date | 05/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366064222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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