# INTROSPECTIVE COUNSELING LLC

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

## Provider details

- **NPI number:** 1720491087
- **Authorized official:** KAREN REARDON LMFT (MANAGER)
- **Authorized official phone:** (860) 845-2068

## Contact information

- **Practice address:** 22 PINE ST, SUITE 205, BRISTOL, CT 06010-6948
- **Practice address phone:** (860) 845-2068
- **Practice address fax:** (860) 845-2365
- **Mailing address:** 22 PINE ST, SUITE 205, BRISTOL, CT 06010-6948
- **Mailing address phone:** (860) 845-2068
- **Mailing address fax:** (860) 845-2365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001140 | CT | Yes |

## Other

- **Enumeration date:** 06/04/2014
- **Last updated:** 06/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004257334 | — | CT |