# PROFESSIONAL FAMILY THERAPY-LLC

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

## Provider details

- **NPI number:** 1407227812
- **Authorized official:** CHRISTOPHER ROBERT DUMAS L.M.F.T. (SOLE PROPRIETOR/OWNER)
- **Authorized official phone:** (860) 281-9588

## Contact information

- **Practice address:** 222 MCKEE ST, MANCHESTER, CT 06040-4800
- **Practice address phone:** (844) 584-3727
- **Mailing address:** 222 MCKEE ST, MANCHESTER, CT 06040-4800
- **Mailing address phone:** (844) 584-3727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000873 | CT | Yes |

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 10/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004025029 | — | CT |