Organization
LIVE IN TRUTH THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA JACKSON LCSW (OWNER)
(860) 840-7390
Entity
Organization
Contact information
Practice address
1224 MILL ST BLDG B, EAST BERLIN, CT 06023-1159
(860) 840-7390
Mailing address
1224 MILL ST BLDG B, EAST BERLIN, CT 06023-1159
(860) 840-7390
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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