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Organization
WISDOM TREE THERAPY, LLC
Active
Organization
WISDOM TREE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATALE TEODORO MACP, LMFT (SOLE MANAGING MEMBER)
(860) 578-8638
Entity
Organization
Contact information
Practice address
664 PROSPECT AVE STE 106, HARTFORD, CT 06105-4255
(860) 578-8638
Mailing address
664 PROSPECT AVE STE 106, HARTFORD, CT 06105-4255
(860) 578-8638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/19/2023
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