Organization
NAZA BUNGU LLC
Active
Parent organization
NAZA BUNGU
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAZA BUNGU
Authorized official
NAZA BUNGU (COUNSELOR/ OWNER)
(203) 848-9350
Entity
Organization
Contact information
Practice address
840 BOSTON POST RD, WEST HAVEN, CT 06516-1847
(203) 445-6593
Mailing address
840 BOSTON POST RD STE 5, WEST HAVEN, CT 06516-1848
(203) 445-6593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8045424
—
CT
Enumeration date
08/08/2019
Last updated
11/27/2023
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