Organization
SYSTEMIC COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD PATRICK OPATRNY LMFT (OWNER/MEMBER)
(203) 233-9179
Entity
Organization
Contact information
Practice address
357 WHITNEY AVE, C/O LOVINS GROUP, NEW HAVEN, CT 06511-2364
(203) 233-9179
(203) 624-7599
Mailing address
357 WHITNEY AVE, C/O LOVINS GROUP, NEW HAVEN, CT 06511-2364
(203) 233-9179
(203) 624-7599
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
CT
106H00000X
Marriage & Family Therapist
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001051
STATE OF CT DEPT OF PUBLIC HEALTH LICENSE NUMBER - MFT
CT
Enumeration date
03/01/2012
Last updated
03/01/2012
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