Doctor Name: | MRS. MARCOLINA GARCIA |
NPI Number: | 1437592128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADC |
License Number: | 000952 |
Business Practice Address: | 1 Grove St 2nd Floor New Britain, CT - 060534116 |
Business Phone Number: | 8608930089 |
Business Fax Number: | 8608930200 |
Mailing Address: | Po Box 1674, HARTFORD |
State: | CT |
Postal Code: | 061441674 |
Phone Number: | 8608930089 |
Fax Number: | 8608930200 |
NPI Enumeration Date: | 04/11/2013 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |