Organization
FAIRFIELD FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES P. LEMIEUX III LMFT (MEMBER)
(475) 888-9232
Entity
Organization
Contact information
Practice address
140 SHERMAN ST FL 5, FAIRFIELD, CT 06824-5849
(203) 883-0803
Mailing address
140 SHERMAN ST FL 5, FAIRFIELD, CT 06824-5849
(475) 888-9232
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001375
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043523
—
CT
Enumeration date
10/26/2016
Last updated
12/17/2018
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