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Organization
COMMUNITY COUNSELING ASSOCIATES, LLC
Active
Organization
COMMUNITY COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY W STANEK MS, MA, LMFT (PRESIDENT)
(203) 219-1255
Entity
Organization
Contact information
Practice address
53 MYANO LN, UNIT ONE, STAMFORD, CT 06902-4535
(203) 219-1255
Mailing address
53 MYANO LN, UNIT ONE, STAMFORD, CT 06902-4535
(203) 219-1255
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/01/2021
Last updated
05/01/2021
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