Organization
JOLANTA MARYANSKA THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOLANTA MARYANSKA LMFT (OWNER)
(203) 376-3639
Entity
Organization
Contact information
Practice address
66 N MAIN ST, BRANFORD, CT 06405-3032
(203) 376-3639
Mailing address
30 BARKER HILL DR, GUILFORD, CT 06437-2351
(203) 376-3639
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001692
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008057974
—
CT
Enumeration date
04/23/2015
Last updated
04/23/2015
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