Organization
PEQUOT COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN LINCOLN M.S., LPC (OWNER/PRESIDENT)
(860) 536-2794
Entity
Organization
Contact information
Practice address
230 PROSPECT HILL RD, GROTON, CT 06340-5545
(860) 536-2794
(860) 536-2794
Mailing address
230 PROSPECT HILL RD, GROTON, CT 06340-5545
(860) 536-2794
(860) 536-2794
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CT 000170
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962432872
NPI
—
Enumeration date
05/11/2010
Last updated
05/11/2010
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