| NPI | 1972093409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KOPAZNA Owner/Therapist 203-864-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003070) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 003070) |
| 101YM0800X Counselor, Mental Health (Licence: CT 003070) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |