Organization
CO-CREATE WITH BRIAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAH UHL-LUCKEY LPC (MANAGER)
(203) 927-4212
Entity
Organization
Contact information
Practice address
315 PECK ST, NEW HAVEN, CT 06513-2933
(203) 927-4212
Mailing address
14 VERNON ST, EAST HAVEN, CT 06512-3545
(203) 927-4212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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