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Organization

ADOLESCENT & FAMILY COUNSELING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HERBERT JAY ROSENFIELD ACSW, LCSW, BCD (DIRECTOR)
(203) 271-1234
Entity
Organization

Contact information

Practice address
350 S MAIN ST, THE REPUBLIC BUILDING / SUITE 23, CHESHIRE, CT 06410-3160
(203) 271-1234
(203) 272-9094
Mailing address
350 S MAIN ST, THE REPUBLIC BUILDING / SUITE 23, CHESHIRE, CT 06410-3160
(203) 271-1234
(203) 272-9094

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CT
103TS0200X
School Psychologist
CT
1041C0700X
Clinical Social Worker
Primary
CT
106H00000X
Marriage & Family Therapist
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004257160
CT
05
004257194
CT
05
004257201
CT
01
248108
MANAGED HEALTH NETWORK
CT
01
7348011
AETNA HEALTH MANAGEMENT
CT
01
A391854
OXFORD HEALTH PLAN
CT
Enumeration date
08/05/2006
Last updated
07/07/2008
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