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Organization
INNERLIGHT WELLNESS COUNSELING PLLC
Active
Organization
INNERLIGHT WELLNESS COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY L TIEDEMAN LMFT (MEMBER)
(860) 918-7946
Entity
Organization
Contact information
Practice address
119C GRISWOLD ST STE 202, GLASTONBURY, CT 06033-1099
(860) 918-7946
(860) 735-5842
Mailing address
119C GRISWOLD ST STE 202, GLASTONBURY, CT 06033-1099
(860) 918-7946
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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