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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