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Organization
NAZA BUNGU LLC
Active
Organization
NAZA BUNGU LLC
Active
Parent organization
NAZA BUNGU
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAZA BUNGU
Authorized official
NAZA BUNGU (COUNSELOR/ OWNER)
(203) 848-9350
Entity
Organization
Contact information
Practice address
840 BOSTON POST RD, WEST HAVEN, CT 06516-1847
(203) 445-6593
Mailing address
840 BOSTON POST RD STE 5, WEST HAVEN, CT 06516-1848
(203) 445-6593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8045424
—
CT
Enumeration date
08/08/2019
Last updated
11/27/2023
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