Organization
BLUE WHALE COUNSELING AND CENTER FOR HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TARA COHEN LCSW (OWNER)
(860) 615-9652
Entity
Organization
Contact information
Practice address
11 SCHOONER DR, MYSTIC, CT 06355-1913
(860) 615-9652
Mailing address
PO BOX 4, MYSTIC, CT 06355-0004
(917) 573-2660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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