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Organization
ROBIN ROSEN
Active
Organization
ROBIN ROSEN
Active
Other names
Tolland Center for Individual and Family Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN G. ROSEN LADC (OWNER)
(860) 875-2578
Entity
Organization
Contact information
Practice address
384 MERROW RD STE D, TOLLAND, CT 06084-3957
(860) 875-2578
(860) 875-9963
Mailing address
384 MERROW RD STE D, TOLLAND, CT 06084-3957
(860) 875-2578
(860) 875-9963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000365
CT
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
004864
CT
106H00000X
Marriage & Family Therapist
000631
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303116
MHN
CT
Enumeration date
02/07/2007
Last updated
02/15/2009
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