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Organization
CHALLENGE TO CHANGE COUNSELING SERVICES LLC
Active
Organization
CHALLENGE TO CHANGE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNAMARIE RIVERA LADC (OWNER)
(203) 909-0157
Entity
Organization
Contact information
Practice address
30 HAZEL TER STE 11C, WOODBRIDGE, CT 06525-2240
(203) 909-0157
(203) 903-5536
Mailing address
30 COVE BROOK RD, WEST HAVEN, CT 06516-4861
(203) 909-0157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000963
CT
Other
Enumeration date
03/09/2014
Last updated
04/09/2014
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