Organization
COMPLETE COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALI FORTUNA LADC, LPC, NCC (MEMBER)
(203) 529-5250
Entity
Organization
Contact information
Practice address
2 CORPORATE DR, SUITE 209, TRUMBULL, CT 06611-1376
(203) 529-5250
Mailing address
30 QUARTER HORSE DR, MONROE, CT 06468-1084
(203) 529-5250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1083
CT
101YM0800X
Mental Health Counselor
Primary
2618
CT
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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