Organization
WILLOW TREE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELA BAJRAKTAREVIC (OWNER)
(203) 558-8214
Entity
Organization
Contact information
Practice address
13 PINE ACRES DR, CANTON, CT 06019-2135
(203) 558-8214
Mailing address
13 PINE ACRES DR, CANTON, CT 06019-2135
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427695089
NPI
—
Enumeration date
03/18/2024
Last updated
03/18/2024
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