| The Christian Counseling And Family Life Center, Inc. | |
|
25 Church St Shelton CT 06484 | |
| (203) 929-1117 | |
| (203) 925-9645 |
| Full Name | The Christian Counseling And Family Life Center, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 25 Church St, Shelton, Connecticut |
| Authorized Official Name and Position | Marcella Rende (ADMIN. DIRECTOR) |
| Authorized Official Contact | 2039291117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Christian Counseling And Family Life Center, Inc. 25 Church St. Shelton CT 06484 Ph: (203) 929-1117 | The Christian Counseling And Family Life Center, Inc. 25 Church St Shelton CT 06484 Ph: (203) 929-1117 |
| NPI Number | 1740313568 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 01/20/2015 |
| Medicare PECOS PAC ID | 4688637010 |
|---|---|
| Medicare Enrollment ID | O20041108000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740313568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Connecticut) | Secondary |
| 106H00000X | Marriage & Family Therapist | (Connecticut) | Primary |
| Provider Name | Kathleen M Graziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972590800 PECOS PAC ID: 6103716204 Enrollment ID: I20041110000675 |
| Provider Name | Jodi A Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518197573 PECOS PAC ID: 7113065095 Enrollment ID: I20091113000178 |
| Provider Name | Cheryl A Tedesco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699877589 PECOS PAC ID: 2062554264 Enrollment ID: I20100128000213 |
| Provider Name | Rose Marie Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194150607 PECOS PAC ID: 4880827757 Enrollment ID: I20140429001958 |
| Provider Name | Jill S Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346339835 PECOS PAC ID: 9931427341 Enrollment ID: I20150415001671 |
| Provider Name | Kim R Owen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487998530 PECOS PAC ID: 1850676214 Enrollment ID: I20170327001557 |
| Provider Name | Margaret Scalia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396009536 PECOS PAC ID: 6800013897 Enrollment ID: I20170531000764 |
| Provider Name | Deon Johnson-allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124592274 PECOS PAC ID: 9638418197 Enrollment ID: I20190227001366 |
| Provider Name | Heather Lyn Rosenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356085765 PECOS PAC ID: 4082092606 Enrollment ID: I20220609000995 |
| Provider Name | Ann C Sieckhaus |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780721449 PECOS PAC ID: 7911340880 Enrollment ID: I20240207002543 |
| Provider Name | Jill J Parkosewich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1730227091 PECOS PAC ID: 0345684478 Enrollment ID: I20240216002687 |
| Provider Name | Marcella Rende |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639261217 PECOS PAC ID: 9335463827 Enrollment ID: I20240313000573 |
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