Organization
SOUTHERN CONNECTICUT CHRISTIAN COUNSELING CENTER
Active
Other names
Renew Counseling Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE KELLOGG JR. D.MIN (DIRECTOR)
(203) 255-5078
Entity
Organization
Contact information
Practice address
8 WAKEMAN RD, FAIRFIELD, CT 06824-5120
(203) 255-5078
Mailing address
8 WAKEMAN RD, FAIRFIELD, CT 06824-5120
(203) 255-5078
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/16/2009
Last updated
02/19/2015
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