Organization
CREATIVE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK J CHOVITZ MS, LADC (OWNER)
(203) 215-6125
Entity
Organization
Contact information
Practice address
408 HIGHLAND AVE STE A, CHESHIRE, CT 06410-2525
(203) 215-6125
(203) 288-7485
Mailing address
408 HIGHLAND AVE STE A, CHESHIRE, CT 06410-2525
(203) 215-6125
(203) 288-7485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000063
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004240008
—
CT
Enumeration date
08/19/2009
Last updated
08/19/2009
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