Organization
FAMILY CARE COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN PETHO LMFT (CEO)
(203) 836-6647
Entity
Organization
Contact information
Practice address
110 SEAVIEW AVE, WEST HAVEN, CT 06516-6846
(203) 836-6647
Mailing address
110 SEAVIEW AVE, WEST HAVEN, CT 06516-6846
(203) 836-6647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001036
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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