Basic Information
| Provider Information | |||||||||
| NPI: | 1588776546 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PASZCZUK | ||||||||
| FirstName: | MARIA | ||||||||
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| Credential: | LPC LADC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 50 GRISWOLD STREET | ||||||||
| Address2: | NEW BRITAIN GENERAL HOSPITAL COUNSELING CENTER | ||||||||
| City: | NEW BRITAIN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602245262 | ||||||||
| FaxNumber: | 8602245752 | ||||||||
| Practice Location | |||||||||
| Address1: | 50 GRISWOLD STREET | ||||||||
| Address2: | NEW BRITAIN GENERAL HOSPITAL COUNSELING CENTER | ||||||||
| City: | NEW BRITAIN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602245267 | ||||||||
| FaxNumber: | 8602245752 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 001185 LPC | CT | X | Behavioral Health & Social Service Providers | Counselor | 101YA0400X | 000570 | CT | X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
No ID Information.