Organization
MINDFUL BALANCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE ANN WETMORE LPC (LICENSED MENTAL HEALTH THERAPIST)
(475) 477-4190
Entity
Organization
Contact information
Practice address
3208 WHITNEY AVE STE 1A, HAMDEN, CT 06518-2158
(475) 477-4190
Mailing address
40 WOODS RD, BETHANY, CT 06524-3103
(203) 605-8638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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