Organization
OAK MOUNTAIN THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE O'LEARY (LICENSED PROFESSIONAL COUNSELOR)
(860) 690-7048
Entity
Organization
Contact information
Practice address
22 BAYVIEW AVE # 4G, STONINGTON, CT 06378-1142
(860) 690-7048
Mailing address
22 BAYVIEW AVE # 4G, STONINGTON, CT 06378-1142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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