| Blue Whale Counseling And Center For Healing | |
|
11 Schooner Dr Mystic CT 06355-1913 | |
| (860) 615-9652 | |
| Not Available |
| Full Name | Blue Whale Counseling And Center For Healing |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11 Schooner Dr, Mystic, Connecticut |
| Authorized Official Name and Position | Jennifer Tara Cohen (OWNER) |
| Authorized Official Contact | 8606159652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Whale Counseling And Center For Healing Po Box 4 Mystic CT 06355-0004 Ph: (917) 573-2660 | Blue Whale Counseling And Center For Healing 11 Schooner Dr Mystic CT 06355-1913 Ph: (860) 615-9652 |
| NPI Number | 1154194447 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154194447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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