Organization
COLLEGE STREET COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP SYLVESTER PH.D. (PARTNER)
(860) 347-8894
Entity
Organization
Contact information
Practice address
154 COLLEGE ST, MIDDLETOWN, CT 06457-3201
(860) 347-8894
(860) 346-2405
Mailing address
154 COLLEGE ST, MIDDLETOWN, CT 06457-3201
(860) 347-8894
(860) 346-2405
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000329
CT
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
004228
CT
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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