Organization
FAMILY COUNSELING OF NEWINGTON, PLLC
Active
Organization
FAMILY COUNSELING OF NEWINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL KENNETH PAGE MSW, LCSW (LICENSED CLINICAL SOCIAL WORKER)
(860) 841-2559
Entity
Organization
Contact information
Practice address
39 MARKET SQ FL 2, NEWINGTON, CT 06111-2912
(860) 841-2559
(960) 371-3488
Mailing address
39 MARKET SQ FL 2, NEWINGTON, CT 06111-2912
(860) 841-2559
(960) 371-3488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002042
LCSW
CT
Enumeration date
05/20/2019
Last updated
05/20/2019
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