Organization
SHORE PATH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME BOHAN LPC (MANAGER)
(860) 558-5514
Entity
Organization
Contact information
Practice address
9 SHERWIN DR, ENFIELD, CT 06082-2065
(860) 558-5514
Mailing address
PO BOX 277, ENFIELD, CT 06083-0277
(860) 558-5514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/17/2024
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