| NPI | 1558762807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MARIE PECK Lpc Therapist 203-260-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 2603) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-06 |