Organization
EZZEDINE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI EZZEDINE LPC (OWNER)
(215) 706-9914
Entity
Organization
Contact information
Practice address
21 LEWIS ST, WETHERSFIELD, CT 06109-1620
(215) 706-9914
Mailing address
PO BOX 276, OLD SAYBROOK, CT 06475-0276
(215) 706-9914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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