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Organization
HOLISTIC COUNSELING SERVICES, LLC
Active
Organization
HOLISTIC COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN TREDENNICK LPC, LADC, ADS (MEMBER)
(203) 240-9476
Entity
Organization
Contact information
Practice address
663 WEST AVE APT 24, MILFORD, CT 06461-3062
(203) 240-9476
Mailing address
663 WEST AVE APT 24, MILFORD, CT 06461-3062
(203) 240-9476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1105
CT
101YM0800X
Mental Health Counselor
Primary
2050
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040655
—
CT
Enumeration date
05/19/2016
Last updated
05/19/2016
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