Collaborative Change Counseling And Wellness, Llc | |
375 Mather St Hamden CT 06514-3101 | |
(203) 745-0733 | |
Not Available |
Full Name | Collaborative Change Counseling And Wellness, Llc |
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Speciality | Counselor - Professional |
Location | 375 Mather St, Hamden, Connecticut |
Authorized Official Name and Position | Jennifer A Y Johnston (SOLE PROPRIETOR) |
Authorized Official Contact | 6176993101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Collaborative Change Counseling And Wellness, Llc 375 Mather St Hamden CT 06514-3101 Ph: (203) 745-0733 | Collaborative Change Counseling And Wellness, Llc 375 Mather St Hamden CT 06514-3101 Ph: (203) 745-0733 |
NPI Number | 1831630235 |
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Provider Enumeration Date | 03/17/2017 |
Last Update Date | 03/08/2019 |
Identifier | Type | State | Issuer |
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1831630235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 7570 (Massachusetts) | Secondary |
101YP2500X | Counselor - Professional | 2205 (Connecticut) | Primary |
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