| NPI | 1659865798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A SIEGER Professional Counselor 860-200-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002242) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |