| NPI | 1679031140 |
|---|---|
| Doing Business As | CONNECTICUT THERAPEUTIC COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | PHETSAMON DILULLO Licensed Clinical Social Worker 413-896-0874 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-04-11 |