Organization
BRIDGES TO SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE RODRIGUEZ LPC LADC SAP (THERAPIST)
(203) 296-0690
Entity
Organization
Contact information
Practice address
30 HAZEL TER, SUITE C, WOODBRIDGE, CT 06525-2240
(203) 296-0690
(203) 900-0690
Mailing address
1674 ELLA T GRASSO BLVD, NEW HAVEN, CT 06511-2802
(203) 296-0690
(203) 900-0690
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
000272
CT
251S00000X
Community/Behavioral Health Agency
Primary
002456
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001451205
—
CT
Enumeration date
06/15/2015
Last updated
06/15/2015
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