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NPI 1649205766

NPI 1649205766 : CHRISTIAN COUNSELING CONNECTION INC : GOSHEN, CT

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General NPI Number Information
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    NPI Number           |    1649205766
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRISTIAN COUNSELING CONNECTION INC 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    01/16/2026
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Provider Practice Location Address
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    Address Line         |    59 TORRINGTON RD STE A1 
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    City                 |    GOSHEN
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    State                |    CT
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    Zip                  |    06756-1538
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    Country              |    US
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    Telephone            |    860-626-1112
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    Fax                  |    860-626-1118
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Provider Business Mailing Address
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    Address Line         |    59 TORRINGTON RD STE A1 
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    City                 |    GOSHEN
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    State                |    CT
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    Zip                  |    06756-1538
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    Country              |    US
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    Telephone            |    860-626-1112
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    Fax                  |    860-626-1118
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MRS. CATHERINE R FIORELLO 
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    Credential           |    LMFT
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    Telephone            |    860-626-1112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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