# COMMUNITY COUNSELING ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1902489511
- **Authorized official:** GARY W STANEK MS, MA, LMFT (PRESIDENT)
- **Authorized official phone:** (203) 219-1255

## Contact information

- **Practice address:** 53 MYANO LN, UNIT ONE, STAMFORD, CT 06902-4535
- **Practice address phone:** (203) 219-1255
- **Mailing address:** 53 MYANO LN, UNIT ONE, STAMFORD, CT 06902-4535
- **Mailing address phone:** (203) 219-1255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2021
- **Last updated:** 05/01/2021