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Organization
METAMORPHOSIS COUNSELING SERVICES, LLC
Active
Organization
METAMORPHOSIS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNISSE VAZQUEZ MSW, LADC (LICENSED DRUG AND ALCOHOL COUNSELOR)
(860) 902-7050
Entity
Organization
Contact information
Practice address
106 FARMINGTON AVE STE 2B, NEW BRITAIN, CT 06053-2977
(860) 902-7050
(860) 902-7050
Mailing address
106 FARMINGTON AVE STE 2B, NEW BRITAIN, CT 06053-2977
(860) 902-7050
(860) 902-7050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000883
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008038649
—
CT
Enumeration date
10/11/2017
Last updated
10/11/2017
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