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Organization
COMMUNITY GUIDANCE CLINIC FOR CENTRAL CONNECTICUT, INC
Active
Organization
COMMUNITY GUIDANCE CLINIC FOR CENTRAL CONNECTICUT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WANDA IVELISSE RODRIGUEZ (BILLING ADMINISTRATOR)
(203) 235-5767
Entity
Organization
Contact information
Practice address
384 PRATT ST, MERIDEN, CT 06450
(203) 235-5767
(203) 238-2010
Mailing address
384 PRATT ST, MERIDEN, CT 06450
(203) 235-5767
(203) 238-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004039210
—
CT
Enumeration date
01/08/2007
Last updated
02/24/2025
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