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Organization

PERSONAL GROWTH & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA YINGLING LPC (OWNER)
(203) 515-6296
Entity
Organization

Contact information

Practice address
35 OLD TAVERN RD, SUITE 101, ORANGE, CT 06477-3450
(203) 515-6296
Mailing address
36 LONDONDERRY LN, MILFORD, CT 06460-3757
(203) 515-6296

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002063
CT

Other

Enumeration date
03/02/2015
Last updated
03/02/2015
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