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NPI Code Detail

MEDICARE: ALEXEI KASANZEW M.ED. IN MHC

MEDICARE:   ALEXEI  KASANZEW  M.ED. IN MHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor005183CT

General Provider Information

NPI Number : 1689068520
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXEI KASANZEW M.ED. IN MHC
Provider Business Mailing Address
First Line : 2911 DIXWELL AVE UNIT 202
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3195
Country : US
Telephone Number : 203-399-8449
Fax Number :
Provider Business Practice Location Address
First Line : 2911 DIXWELL AVE STE 202
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3195
Country : US
Telephone Number : 203-399-8449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2015
Last Update Date : 04/10/2026

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Directions to “ ALEXEI KASANZEW M.ED. IN MHC” Practice Location

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