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Organization
POSITIVE CHANGE THERAPY, PLLC
Active
Organization
POSITIVE CHANGE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BYERS LCSW (CLINICAL SOCIAL WORKER)
(203) 651-9255
Entity
Organization
Contact information
Practice address
422 HIGHLAND AVE STE 5, CHESHIRE, CT 06410-2526
(203) 651-9255
Mailing address
345 PAYNE DR, CHESHIRE, CT 06410-1752
(860) 651-9255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025193
—
CT
Enumeration date
11/01/2019
Last updated
11/01/2019
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