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Organization

GUIDED RECOVERY COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE QUEEN LPC (PROFESSIONAL COUNSELOR)
(860) 384-2523
Entity
Organization

Contact information

Practice address
710 MAIN ST, BUILDING 4 SECOND LEVEL, PLANTSVILLE, CT 06479-1565
(860) 384-2523
Mailing address
49 JAMES AVE, SOUTHINGTON, CT 06489-2324
(860) 384-2523

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001573
CT

Other

Enumeration date
08/29/2015
Last updated
08/29/2015
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Product
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  • EDI platform