Organization
EMBRACE LIFE THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE BEZARES LPC, NCC (LICENSE PROFESSIONAL COUNSELOR)
(860) 833-1919
Entity
Organization
Contact information
Practice address
81 W MAIN ST STE B, NEW BRITAIN, CT 06051-4221
(860) 833-1919
Mailing address
315 HILLSIDE AVE, HARTFORD, CT 06106-3821
(860) 833-1919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3283
CT
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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