Organization
MARISOL ACEVEDO CRUZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISOL ACEVEDO CRUZ LMFT (THERAPIST)
(860) 550-0179
Entity
Organization
Contact information
Practice address
100 WELLS ST. SUITE 2L, BUSHNELL ON THE PARK, HARTFORD, CT 06103
(860) 550-0179
Mailing address
100 WELLS ST. SUITE 2L, BUSHNELL ON THE PARK, HARTFORD, CT 06103
(860) 550-0179
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780887224
INDIVIDUAL NIP
CT
Enumeration date
04/26/2013
Last updated
04/26/2013
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