Organization
PROFESSIONAL FAMILY THERAPY-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ROBERT DUMAS L.M.F.T. (SOLE PROPRIETOR/OWNER)
(860) 281-9588
Entity
Organization
Contact information
Practice address
222 MCKEE ST, MANCHESTER, CT 06040-4800
(844) 584-3727
Mailing address
222 MCKEE ST, MANCHESTER, CT 06040-4800
(844) 584-3727
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000873
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025029
—
CT
Enumeration date
10/12/2015
Last updated
10/12/2015
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