Organization
FRIENDS AND FAMILY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELDA STOREY CHESEBROUGH MSW,LCSW (OWNER)
(860) 572-4969
Entity
Organization
Contact information
Practice address
107 WILCOX ROAD, SUITE 111, STONINGTON, CT 06378-2613
(860) 572-4969
(860) 572-5767
Mailing address
107 WILCOX ROAD, SUITE 111, STONINGTON, CT 06378-2613
(860) 572-4969
(860) 572-5767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
002410
CT
1041C0700X
Clinical Social Worker
Primary
005649
CT
1041C0700X
Clinical Social Worker
007830
CT
106H00000X
Marriage & Family Therapist
001256
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004256849
—
CT
Enumeration date
02/15/2007
Last updated
06/21/2018
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