# COUNSELING CENTERS OF NEW ENGLAND LLC

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

## Provider details

- **NPI number:** 1982955050
- **Authorized official:** MR. PETER R BOURQUE JR. APRN (OWNER)
- **Authorized official phone:** (860) 990-9870

## Contact information

- **Practice address:** 40 AVON MEADOW LN, AVON, CT 06001-3753
- **Practice address phone:** (860) 990-9870
- **Mailing address:** 40 AVON MEADOW LN, AVON, CT 06001-3753
- **Mailing address phone:** (860) 990-9870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5047 | CT | Yes |

## Other

- **Enumeration date:** 09/28/2012
- **Last updated:** 09/28/2012