Organization
CONNECTICUT THERAPY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA G HYNES CCDP, MATS, CAC, CCS (COMPANY MANAGER)
(860) 868-0857
Entity
Organization
Contact information
Practice address
8 TITUS RD, WASHINGTON DEPOT, CT 06794-1517
(860) 868-0857
(860) 868-1288
Mailing address
PO BOX 560, WASHINGTON DEPOT, CT 06794-0560
(860) 868-0857
(860) 868-1288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CT
101YM0800X
Mental Health Counselor
Primary
—
CT
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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