Organization
COLLABORATIVE COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN ORAKWUE LMFT (CO-OWNER)
(203) 220-6595
Entity
Organization
Contact information
Practice address
2 CORPORATE DR, SUITE 204A, TRUMBULL, CT 06611-1376
(203) 220-6595
(203) 445-9488
Mailing address
2 CORPORATE DR, SUITE 204A, TRUMBULL, CT 06611-1376
(203) 220-6595
(203) 445-9488
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001290
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001202181
MHN
CT
01
—
410001290CT04
ANTHEM
CT
Enumeration date
05/04/2010
Last updated
05/04/2010
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