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Organization
BLUE SKY COUNSELING LLC
Active
Organization
BLUE SKY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LACZAK LMFT (MARITAL & FAMILY THERAPIST)
(860) 605-0799
Entity
Organization
Contact information
Practice address
85 RIVER RD, COLLINSVILLE, CT 06019-3245
(860) 605-0799
Mailing address
28 RIVEREDGE DR, WINSTED, CT 06098-2137
(860) 605-0799
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NULL
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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