| Side Quest Counseling Llc | |
|
410 State St Ste 16 North Haven CT 06473-3148 | |
| (203) 290-1661 | |
| Not Available |
| Full Name | Side Quest Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 410 State St Ste 16, North Haven, Connecticut |
| Authorized Official Name and Position | Lisa Mohr (OWNER) |
| Authorized Official Contact | 2032901661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Side Quest Counseling Llc 410 State St Ste 16 North Haven CT 06473-3148 Ph: (203) 290-1661 | Side Quest Counseling Llc 410 State St Ste 16 North Haven CT 06473-3148 Ph: (203) 290-1661 |
| NPI Number | 1578165460 |
|---|---|
| Provider Enumeration Date | 11/15/2020 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578165460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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