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Organization
ANCHOR WELLNESS LLC
Active
Organization
ANCHOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHACKFORD (PRACTICE MANAGER/REGISTERED AGENT)
(860) 245-9372
Entity
Organization
Contact information
Practice address
10 BLUFF AVE STE 115, CLINTON, CT 06413-2255
(860) 245-9372
Mailing address
10 BLUFF AVE STE 115, CLINTON, CT 06413-2255
(860) 245-9372
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/14/2020
Last updated
01/28/2025
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