Organization · Type 2 NPI
Spring Street Psychiatric Group
Professional Counselor · Middletown, CT
NPI number
1104065895
Active
Practice location
7 Spring St
Middletown, CT 06457-2238
Fax (860) 347-6265
Mailing address
PO Box 1018
Middletown, CT 06457-1018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 24301 (CT) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1104065895
Spring Street Psychiatric Group's National Provider Identifier is 1104065895, issued on Feb 19, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Middletown, CT. The record was last updated on Feb 19, 2009.