person
Theresa Mamie Charles I
Mental Health Counselor in Groton, Connecticut
NPI 1255769576

Theresa Mamie Charles I is a Mental Health Counselor based in Groton, CT and is specialized in Mental Health. Theresa Mamie Charles I practices in Groton, CT. The NPI Number for Theresa Mamie Charles I is 1255769576 and holds a License No. 060886125 (Connecticut).

The current practice location address for Theresa Mamie Charles I is 542 Longhill Road, Groton, CT and can be reached out via phone at 866-448-4993.

Location: 542 Longhill Road, Groton, CT, 06340-4108
person
Provider Profile Details
NPI Number
1255769576
Provider Name
Theresa Mamie Charles I
Credential
Provider Entity Type
Individual
Gender
Female
Address
542 Longhill Road, Groton, CT, 06340-4108
Phone Number
866-448-4993
Fax Number
Provider Enumeration Date
10/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
542 Longhill Road
City
State
Zip
06340
Phone Number
866-448-4993
Fax Number
person
Provider Business Mailing Address Details
Address
542 Longhill Road
City
State
Zip
06340
Phone Number
866-448-4993
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
060886125 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
060886125 (Connecticut)
Definition
Definition to come...
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