Organization
PARTNERS IN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANNE R. CARROLL MA,LADC (MANAGER)
(860) 423-4279
Entity
Organization
Contact information
Practice address
387 TUCKIE RD, SUITE D, NORTH WINDHAM, CT 06256-1355
(860) 423-4279
(860) 423-4284
Mailing address
387 TUCKIE RD, SUITE D, NORTH WINDHAM, CT 06256-1355
(860) 423-4279
(860) 423-4284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000055
CT
1041C0700X
Clinical Social Worker
003025
CT
251S00000X
Community/Behavioral Health Agency
003025
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004165397
—
CT
Enumeration date
09/19/2008
Last updated
10/05/2014
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