Organization
LINDA S MITTENTHAL LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE PIRES (OFFICE MANAGER)
(860) 517-6633
Entity
Organization
Contact information
Practice address
99 CITIZENS DR, GLASTONBURY, CT 06033-1262
(860) 517-6633
Mailing address
99 CITIZENS DR, GLASTONBURY, CT 06033-1262
(860) 517-6633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D400415577
—
CT
Enumeration date
01/16/2020
Last updated
01/16/2020
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