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CAROLYN ANN TRASKO MSW, LCSW

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1639235534

Individual Registrant:
 CAROLYN ANN TRASKO MSW, LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
57 OLD JEWETT CITY RD  PRESTON, CT 06365-8010 US
Tel: 860-887-7647  Fax: 860-887-3104

Contact information for business:
57 OLD JEWETT CITY RD  PRESTON, CT 06365-8010 US
Tel: 860-887-7647  Fax: 860-887-3104

Registration Information:
NPI: 1639235534
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CTCAC-3682
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CT004350

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA PROVIDER ID0007721113CT01
004254710CT05
OXFORD PROVIDER IDP3050702CT01
ANTHEM PROVIDER ID140004350CT07CT01
MHN PROVIDER ID191022CT01
TAX IDENTIFICATION NUMBER161622942CT01
VALUE OPTIONS PROVIDER ID336119CT01
MAGELLAN PROVIDER ID706412000CT01
CIGNA PROVIDER ID2033944CT01




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