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Organization

ALTERNATIVE THERAPY LLC

Active
Other names
Alternative Therapy, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAUL A AVILA MPA,CAGS, NCC, LPC (DIRECTOR)
(203) 281-0300
Entity
Organization

Contact information

Practice address
2911 DIXWELL AVE STE 301, SUITE 9, HAMDEN, CT 06518-3130
(203) 281-0300
Mailing address
2911 DIXWELL AVE STE 301, SUITE 9, HAMDEN, CT 06518-3130
(203) 281-0300

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
12/30/2010
Last updated
09/03/2024
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