NPI | 1164652871 |
---|---|
Doing Business As | RENEW COUNSELING ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DUANE KELLOGG Director 203-255-5078 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YP2500X Counselor, Professional |
106H00000X Marriage & Family Therapist | |
103TC0700X Psychologist, Clinical | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2009-07-16 |
Last Update Date | 2015-02-19 |