Organization
FARMINGTON RIVER MENTAL HEALTH SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA M CARROLL LCSW (DIRECTOR)
(860) 307-8943
Entity
Organization
Contact information
Practice address
46 W AVON RD STE 204, AVON, CT 06001-3679
(860) 307-8943
(860) 824-1469
Mailing address
46 W AVON RD STE 204, AVON, CT 06001-3679
(860) 307-8943
(860) 824-1469
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
CT
1041C0700X
Clinical Social Worker
Primary
005693
CT
Other
Enumeration date
05/15/2012
Last updated
09/29/2014
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