Organization
A TREE OF LIFE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN LARSON-SAMALUS LCSW (OWNER/DIRECTOR)
(860) 455-3384
Entity
Organization
Contact information
Practice address
3 BARNARD LN STE 310, BLOOMFIELD, CT 06002-2495
(860) 455-3384
Mailing address
10 MILLER RD, EAST GRANBY, CT 06026-9735
(860) 455-3384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
06/11/2019
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