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Organization
THERAPEUTIC ALLIANCE OF CONNECTICUT, LLC
Active
Organization
THERAPEUTIC ALLIANCE OF CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO RENE DURAN JR. PMHNP (OWNER)
(860) 966-1004
Entity
Organization
Contact information
Practice address
174 SOUTH RD STE 125, ENFIELD, CT 06082-4414
(860) 966-1004
(860) 788-4090
Mailing address
174 SOUTH RD STE 125, ENFIELD, CT 06082-4414
(860) 966-1004
(860) 788-4090
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7027
CT
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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