# COLLABORATIVE COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225358963
- **Authorized official:** MS. LORI B KUNTZ LMFT (OWNER/THERAPIST)
- **Authorized official phone:** (860) 977-7260

## Contact information

- **Practice address:** 246 WOLCOTT RD., WOLCOTT, CT 06716
- **Practice address phone:** (203) 879-4424
- **Practice address fax:** (203) 879-4442
- **Mailing address:** PO BOX 453 BRISTOL, CT 06011, BRISTOL, CT 06011
- **Mailing address phone:** (203) 879-4424
- **Mailing address fax:** (203) 879-4442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2010
- **Last updated:** 06/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1811020217 | NPI | CT |