Organization
FOUR SEASONS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRITZ MAIGNAN MS, NCC, LPC (EXECUTIVE DIRECTOR)
(203) 870-6050
Entity
Organization
Contact information
Practice address
48 ALPINE ST, BRIDGEPORT, CT 06610-1727
(203) 870-6050
(203) 333-9098
Mailing address
48 ALPINE ST, BRIDGEPORT, CT 06610-1727
(203) 870-6050
(203) 333-9098
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
1949
CT
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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