Individual
MR. GARY M STECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
695
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008049729
—
CT
01
—
060669107
OXNARD/FREEDOM LIBERTY/UBH WELLMORE GRP/FACILITY
CT
01
—
12671501
CAQH
—
01
—
14205
BEACON HEALTH
CT
01
—
4853965
CIGNA BEHAVIORAL HEALTH
—
01
—
ELIGIBLE
MHN MANAGED HEALTH NETWORK
CT
Enumeration date
12/30/2012
Last updated
08/29/2016
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