Organization
RENEW COUNSELING ASSOCIATES
Active
Organization
RENEW COUNSELING ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE KELLOGG (CLINICAL DIRECTOR)
18778473639
Entity
Organization
Contact information
Practice address
455 OLD LONG RIDGE RD, STAMFORD, CT 06903-1112
(187) 784-7363
Mailing address
8 WAKEMAN RD, FAIRFIELD, CT 06824-5120
(203) 255-5078
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001291
CT
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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