Organization
SACRED SPACE COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BONITZ-MOORE ATR-BC, LPC, IMH-E (ART THERAPIST, OWNER)
(860) 617-4082
Entity
Organization
Contact information
Practice address
46 LEBANON RD, BOZRAH, CT 06334-1116
(860) 617-4082
(860) 617-4082
Mailing address
195 FOWLER RD, LEBANON, CT 06249-2503
(860) 617-4082
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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