Christina Renee Cournoyer

Individual provider Active NPI Mental Health Counselor · Thompson, CT

NPI 1487496006 · NPPES record last updated Jun 12, 2024

Key facts

NPI
1487496006
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
504 E Thompson Rd
Thompson, CT 06277-1936
Phone
(860) 315-4810
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Renee LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

504 E Thompson Rd
Thompson, CT 06277-1936

Mailing address

504 E Thompson Rd
Thompson, CT 06277-1936
Phone (860) 315-4810

Other providers in Thompson, CT

All providers in Thompson, CT · Mental Health Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.