Organization
WISDOM TREE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATALE TEODORO MACP, LMFT (SOLE MANAGING MEMBER)
(860) 578-8638
Entity
Organization
Contact information
Practice address
664 PROSPECT AVE STE 106, HARTFORD, CT 06105-4255
(860) 578-8638
Mailing address
664 PROSPECT AVE STE 106, HARTFORD, CT 06105-4255
(860) 578-8638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/19/2023
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