Organization
BLOSSOM COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE A PARISI LCSW (OWNER)
(203) 744-9820
Entity
Organization
Contact information
Practice address
300 FEDERAL RD STE 209, BROOKFIELD, CT 06804-2412
(203) 744-9820
Mailing address
4 DEER RUN RD, BROOKFIELD, CT 06804-1723
(203) 744-9820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009096
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008069995
—
CT
Enumeration date
06/30/2017
Last updated
06/30/2017
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