# COLLABORATIVE COUNSELING GROUP

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

## Provider details

- **NPI number:** 1295053098
- **Authorized official:** KRISTEN ORAKWUE LMFT (CO-OWNER)
- **Authorized official phone:** (203) 220-6595

## Contact information

- **Practice address:** 2 CORPORATE DR, SUITE 204A, TRUMBULL, CT 06611-1376
- **Practice address phone:** (203) 220-6595
- **Practice address fax:** (203) 445-9488
- **Mailing address:** 2 CORPORATE DR, SUITE 204A, TRUMBULL, CT 06611-1376
- **Mailing address phone:** (203) 220-6595
- **Mailing address fax:** (203) 445-9488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001290 | CT | Yes |

## Other

- **Enumeration date:** 05/04/2010
- **Last updated:** 05/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0001202181 | MHN | CT |
| 01 | — | 410001290CT04 | ANTHEM | CT |