Provider Demographics
NPI:1427592450
Name:CT CENTER FOR COUNSELING AND EDUCATION
Entity Type:Organization
Organization Name:CT CENTER FOR COUNSELING AND EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-706-2369
Mailing Address - Street 1:585 PARK RD
Mailing Address - Street 2:UNIT 1-7
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-2317
Mailing Address - Country:US
Mailing Address - Phone:203-706-2369
Mailing Address - Fax:203-528-0140
Practice Address - Street 1:411 HIGHLAND AVE
Practice Address - Street 2:1-N
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3465
Practice Address - Country:US
Practice Address - Phone:203-706-2369
Practice Address - Fax:203-528-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0065791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty