Organization
ART FOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PELLICCI HAMILTON MSAT, ATR, LPC (CEO)
(203) 722-4141
Entity
Organization
Contact information
Practice address
19 RAYMOND HTS, DARIEN, CT 06820-4920
(203) 722-4141
Mailing address
19 RAYMOND HTS, DARIEN, CT 06820-4920
(203) 722-4141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
001779
CT
221700000X
Art Therapist
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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