Organization
DIANE SMITH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SMITH LCSW (OWNER)
(860) 705-5636
Entity
Organization
Contact information
Practice address
79 CEDAR RD, MYSTIC, CT 06355-2163
(860) 705-5636
Mailing address
153 BOSTON POST RD # 418, EAST LYME, CT 06333-1605
(860) 705-5636
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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