Organization
INTO ACTION COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MANCINONE LPC (SOLE OWNER)
(802) 310-6099
Entity
Organization
Contact information
Practice address
44 WATERBURY RD STE 2C, PROSPECT, CT 06712-1243
(802) 310-6099
Mailing address
349 BRADLEY AVENUE, WATERBURY, CT 06708
(802) 310-6099
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
10/16/2017
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