| Town North Branford Counseling Services | |
|
1599 Foxon Road North Branford CT 06471-0287 | |
| (203) 315-6014 | |
| Not Available |
| Full Name | Town North Branford Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1599 Foxon Road, North Branford, Connecticut |
| Authorized Official Name and Position | Tracy E Mitchell (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2033156014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Town North Branford Counseling Services Po Box 287 909 Foxon Road North Branford CT 06471-0287 Ph: (203) 315-6014 | Town North Branford Counseling Services 1599 Foxon Road North Branford CT 06471-0287 Ph: (203) 315-6014 |
| NPI Number | 1689788580 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689788580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0343 (Connecticut) | Primary |
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