Organization
ATLAS OUTLOOK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI MENDEZ (AUTHORIZED OFFICIAL)
(860) 685-1254
Entity
Organization
Contact information
Practice address
1429 PARK ST, RESET FIRST FLOOR, HARTFORD, CT 06106-2236
(860) 685-1254
Mailing address
1429 PARK ST, RESET FIRST FLOOR, HARTFORD, CT 06106-2236
(860) 685-1254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002560
CT
106H00000X
Marriage & Family Therapist
001390
CT
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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