Organization
MODERN PROGRESS COUNSELING AND COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN-TYLER MARKETTE MS, LPC (FOUNDER)
(203) 988-6144
Entity
Organization
Contact information
Practice address
299 RUSSO DR, HAMDEN, CT 06518-1746
(203) 988-6144
Mailing address
299 RUSSO DR, HAMDEN, CT 06518-1746
(203) 988-6144
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801438981
—
CT
Enumeration date
02/28/2024
Last updated
02/28/2024
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