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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