Organization Name: | RANCOURT COUNSELING, LLC |
NPI Number: | 1114214673 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA WADE-RANCOURT (PRESIDENT) |
Mailing Address: | 26 Bank St New Milford |
State: | CT US |
Postal Code: | 067762706 |
Phone Number: | 2037706422 |
Fax Number: | 8603540410 |
NPI Enumeration Date: | 07/06/2011 |
NPI Last Update Date: | 07/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |