Organization
RE-FOCUS FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE KAY GILES BA (FOUNDER/MANAGING DIRECTOR)
(203) 800-0170
Entity
Organization
Contact information
Practice address
157 CHURCH STREET, 19TH FLOOR, NEW HAVEN, CT 06510
(203) 800-0170
Mailing address
P.O. BOX 321, WEST HAVEN, CT 06516
(203) 800-0170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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