Organization
THERAPEUTIC ALLIANCE OF CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIO RENE DURAN JR. PMHNP (OWNER)
(860) 966-1004
Entity
Organization
Contact information
Practice address
174 SOUTH RD STE 125, ENFIELD, CT 06082-4414
(860) 966-1004
(860) 788-4090
Mailing address
174 SOUTH RD STE 125, ENFIELD, CT 06082-4414
(860) 966-1004
(860) 788-4090
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7027
CT
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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