Organization
LIVE BY THE SUN FEEL BY THE MOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA GOLDSTEIN M.S., LPC (LICENSED PROFESSIONAL COUNSELOR)
(860) 716-5318
Entity
Organization
Contact information
Practice address
128 GARDEN ST, FARMINGTON, CT 06032-2254
(860) 716-5318
(860) 231-8006
Mailing address
128 GARDEN ST, FARMINGTON, CT 06032-2254
(860) 716-5318
(860) 231-8006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003036
CT
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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