Organization
BREAKTHROUGH THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KADIESHA WEBLEY LCSW (OWNER)
(203) 543-6406
Entity
Organization
Contact information
Practice address
30 HAZEL TER STE 20, WOODBRIDGE, CT 06525-2240
(203) 543-6406
Mailing address
2838 WHITNEY AVE APT 14, HAMDEN, CT 06518-2542
(203) 543-6406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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