Organization
CONNECTICUT RENAISSANCE, INC.
Active
Other names
CT Renaissance
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PATSTON LMFT (COO)
(203) 336-5225
Entity
Organization
Contact information
Practice address
115 MIDDLE ST, BRIDGEPORT, CT 06604-4410
(203) 336-9755
Mailing address
1 WATERVIEW DR STE 202, SHELTON, CT 06484-4368
(203) 336-5225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PENDING
CT
101YM0800X
Mental Health Counselor
Primary
PENDING
CT
Other
Enumeration date
10/02/2008
Last updated
06/30/2022
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