| Willow Tree Psychotherapy | |
|
13 Pine Acres Dr Canton CT 06019-2135 | |
| (203) 558-8214 | |
| Not Available |
| Full Name | Willow Tree Psychotherapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 13 Pine Acres Dr, Canton, Connecticut |
| Authorized Official Name and Position | Adela Bajraktarevic (OWNER) |
| Authorized Official Contact | 2035588214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Psychotherapy 13 Pine Acres Dr Canton CT 06019-2135 Ph: () - | Willow Tree Psychotherapy 13 Pine Acres Dr Canton CT 06019-2135 Ph: (203) 558-8214 |
| NPI Number | 1134988579 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134988579 | NPI | - | NPPES |
| 1427695089 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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