IndividualActive
Frederick Streets
NPI 1003459389 · Pastoral Counselor · Stratford, CT
Provider details
- NPI number
- 1003459389
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 002270 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
602 Nichols Ave
Stratford, CT 06614-3925
Phone: (203) 296-2430
Approximate (ZIP-level) locationGet directions
Mailing address
602 Nichols Ave
Stratford, CT 06614-3925
Registry dates
- Enumerated
- 2019-10-19
- Last updated
- 2019-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.