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Organization

TOWN OF BRANFORD

Active
Other names
Branford Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
PETER CIMINO LPC (EXECUTIVE DIRECTOR)
(203) 481-4248
Entity
Organization

Contact information

Practice address
342 HARBOR STREET, BRANFORD, CT 06405
(203) 481-4248
(203) 483-7727
Mailing address
342 HARBOR STREET, BRANFORD, CT 06405
(203) 481-4248
(203) 483-7727

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
002668
CT
1041C0700X
Clinical Social Worker
005435
CT
106H00000X
Marriage & Family Therapist
1942449186
CT
2084P0800X
Psychiatry Physician
014248
CT
2084P0804X
Child & Adolescent Psychiatry Physician
C01490
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C0149
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004051884
CT
01
142474
VALUE OPTS. B.H. ID NO.
CT
01
191065
M.H.N./H.M.C. GRP NO.
CT
01
ANC1650
OXFORD INS. GRP NO.
CT
01
C-0149
STATE LIC. NUMBER
CT
Enumeration date
07/13/2006
Last updated
02/06/2015
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