Organization
BREAKTHROUGH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FIKESOLA AYENI LCSW (OWNER)
(860) 918-3663
Entity
Organization
Contact information
Practice address
1001 FARMINGTON AVE STE 302, BRISTOL, CT 06010-3990
(860) 918-3663
Mailing address
46 LAUREL LN, MARLBOROUGH, CT 06447-1151
(860) 918-3663
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
07161
CT
251S00000X
Community/Behavioral Health Agency
Primary
07161
CT
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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