Individual
CHARLOTTE COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
99 TREBBE DR, MANCHESTER, CT 06040-2620
(860) 643-9005
Mailing address
99 TREBBE DR, MANCHESTER, CT 06040-2620
(860) 643-9005
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
172V00000X
Community Health Worker
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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