Organization
KOENIG FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASHLEY ANDERSON (AUTHORIZED OFFICIAL/BILLING ADMIN)
(541) 646-5122
Entity
Organization
Contact information
Practice address
400 STILLSON RD, FAIRFIELD, CT 06824-3103
(203) 623-4373
Mailing address
11 BERKSHIRE RD, ANSONIA, CT 06401-2444
(203) 623-4373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
002925
CT
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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