Organization
SANDRA A COAKLEY PSYCHOTHERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA A COAKLEY LPC (OWNER/LPC)
(203) 886-7836
Entity
Organization
Contact information
Practice address
128 CARRIAGE HILL DR, NEWINGTON, CT 06111-2006
(203) 886-7836
Mailing address
128 CARRIAGE HILL DR, NEWINGTON, CT 06111-2006
(203) 886-7836
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003350
CT
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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