# COLLABORATIVE COUNSELING, LLC

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

## Provider details

- **NPI number:** 1407291818
- **Authorized official:** LORI KUNTZ LMFT (OWNER)
- **Authorized official phone:** (203) 879-4424

## Contact information

- **Practice address:** 1495 WOLCOTT RD, WOLCOTT, CT 06716-1321
- **Practice address phone:** (203) 879-4424
- **Practice address fax:** (203) 879-4442
- **Mailing address:** PO BOX 453, BRISTOL, CT 06011-0453
- **Mailing address phone:** (203) 879-4424
- **Mailing address fax:** (203) 879-4442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 002310 | CT | — |
| 1041C0700X | Clinical Social Worker | 006562 | CT | — |
| 106H00000X | Marriage & Family Therapist | 001113 | CT | Yes |
| 106H00000X | Marriage & Family Therapist | 001496 | CT | — |

## Other

- **Enumeration date:** 04/30/2013
- **Last updated:** 04/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008024276 | — | CT |
| 05 | — | 008040740 | — | CT |