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Organization
INTEGRITY CARE AND COUNSELING SERVICES LLC
Active
Organization
INTEGRITY CARE AND COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DAVID BOIVIN LPC/LADC (PSYCHOTHERAPIST)
(860) 871-5402
Entity
Organization
Contact information
Practice address
16 MAIN ST, ELLINGTON, CT 06029-3360
(860) 871-5402
(860) 871-5413
Mailing address
16 MAIN ST, ELLINGTON, CT 06029-3360
(860) 871-5402
(860) 871-5413
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001186
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003154
—
CT
Enumeration date
05/31/2018
Last updated
05/31/2018
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