# NORTHWESTERN CONNECTICUT COUNSELING AND CONSULTING

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

## Provider details

- **NPI number:** 1972863256
- **Authorized official:** MICAH MANN LADC (OWNER)
- **Authorized official phone:** (860) 877-4320

## Contact information

- **Practice address:** 434 PROSPECT ST, TORRINGTON, CT 06790-4937
- **Practice address phone:** (860) 877-4320
- **Mailing address:** 37 BRIDLE DR, BARKHAMSTED, CT 06063-3425
- **Mailing address phone:** (860) 877-4320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 000689 | CT | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 05/21/2012