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Organization

AFFILIATES FOR CONSULTATION AND PSYCHOTHERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS G. CAMPBELL L.C.S.W. (GENERAL PARTNER AND PRACTICE DIRECT)
(203) 562-4235
Entity
Organization

Contact information

Practice address
389 ORANGE ST., NEW HAVEN, CT 06511-6406
(203) 562-4235
(203) 624-6600
Mailing address
389 ORANGE ST., NEW HAVEN, CT 06511-6406
(203) 562-4235
(203) 624-6600

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
CT
101YM0800X
Mental Health Counselor
CT
101YP1600X
Pastoral Counselor
CT
101YP2500X
Professional Counselor
CT
104100000X
Social Worker
CT
1041C0700X
Clinical Social Worker
Primary
CT
106H00000X
Marriage & Family Therapist
CT

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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