Organization
TRINA WONG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA WONG LMFT (OWNER)
(203) 671-5836
Entity
Organization
Contact information
Practice address
42 NEWPORT PL, FAIRFIELD, CT 06825-2536
(203) 671-5836
Mailing address
42 NEWPORT PL, FAIRFIELD, CT 06825-2536
(203) 671-5836
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001955
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
06/26/2018
Last updated
06/26/2018
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