Organization
CHRISTIAN COUNSELING OF GREATER WATERBURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN CIUCCI L.P.C. (CLINICAL DIRECTOR)
(203) 758-3570
Entity
Organization
Contact information
Practice address
39A WATERBURY RD, PROSPECT, CT 06712-1249
(203) 758-3570
Mailing address
39A WATERBURY RD, PROSPECT, CT 06712-1249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3231
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3231
—
CT
Enumeration date
02/08/2017
Last updated
02/08/2017
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