Doctor Name: | IRENEUSZ SIELSKI |
NPI Number: | 1073755369 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | |
Business Practice Address: | 50 Griswold St Counseling Center New Britain, CT - 060522008 |
Business Phone Number: | 8602245267 |
Business Fax Number: | 8602245752 |
Mailing Address: | 50 Griswold St, Counseling Center NEW BRITAIN |
State: | CT |
Postal Code: | 060522008 |
Phone Number: | 8602245267 |
Fax Number: | 8602245752 |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 04/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |