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Organization
INTEGRATED COUNSELING SOLUTIONS, LLC
Active
Organization
INTEGRATED COUNSELING SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLENE DENISE KEELER LPC (PARTNER)
(860) 373-8698
Entity
Organization
Contact information
Practice address
363 MAIN ST STE 512, MIDDLETOWN, CT 06457-3359
(860) 373-8698
Mailing address
32 WOOD ACRES RD, AMSTON, CT 06231-1751
(860) 373-8698
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002445
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134555469
CONNECTICARE
—
05
—
1134555469
—
CT
Enumeration date
12/15/2017
Last updated
06/16/2018
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