| NPI | 1023425964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE PORTER Psychotherapist Lpc 860-977-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2570) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |