Organization
CONNECTICUT MINDFUL HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON FERGUSON LCSW (PSYCHOTHERAPIST)
(860) 606-4820
Entity
Organization
Contact information
Practice address
309 FARMCLIFF DR, GLASTONBURY, CT 06033-4185
(860) 606-4820
Mailing address
309 FARMCLIFF DR, GLASTONBURY, CT 06033-4185
(860) 606-4820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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