Organization
ART AND SOUL ART THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA BENN-MIRANDI LPC (OWNER)
(203) 350-3717
Entity
Organization
Contact information
Practice address
149 DURHAM RD, MADISON, CT 06443-2677
(203) 350-3717
Mailing address
246 DURHAM RD, MADISON, CT 06443-2454
(203) 350-3717
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003496
CT
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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