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Organization
TOWN PLOT COUNSELING LLC
Active
Organization
TOWN PLOT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A PADILLA LCSW (DIRECTOR)
(203) 574-0094
Entity
Organization
Contact information
Practice address
798 HIGHLAND AVE, 2ND FLOOR, WATERBURY, CT 06708
(203) 574-0094
(860) 585-7667
Mailing address
798 HIGHLAND AVE, 2ND FLOOR, WATERBURY, CT 06708
(203) 574-0094
(860) 585-7667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004291
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140004291CT03
ANTHEM BC/BS
CT
Enumeration date
10/03/2006
Last updated
08/22/2020
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