Organization
COUNSELING CENTER FOR DISCOVERY & CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROODY JOSEPH LPC (OWNER)
(203) 249-5334
Entity
Organization
Contact information
Practice address
12 CUSTER ST, STAMFORD, CT 06902-3128
(203) 249-5334
Mailing address
12 CUSTER ST, STAMFORD, CT 06902-3128
(203) 249-5334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1114
CT
101YP2500X
Professional Counselor
Primary
2519
CT
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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