Organization
KHALIFEH COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLYN BANNING LPC (OWNER)
(860) 449-3817
Entity
Organization
Contact information
Practice address
18 ONECO ST STE 3, NORWICH, CT 06360-3440
(860) 449-3817
Mailing address
18 ONECO ST STE 3, NORWICH, CT 06360-3440
(860) 449-3817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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