Organization
CCM PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE MCMAHON (OWNER)
(860) 417-6100
Entity
Organization
Contact information
Practice address
76 WESTBURY PARK RD, SUITE 303E, WATERTOWN, CT 06795-0000
(860) 417-6100
Mailing address
76 WESTBURY PARK RD, SUITE 303E, WATERTOWN, CT 06795-0000
(860) 417-6100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007557
CT
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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