Organization
MGR WELLNESS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISA A MASTRIANNO LPC (CO-OWNER)
(860) 488-8146
Entity
Organization
Contact information
Practice address
14 S MAIN ST, THOMASTON, CT 06787
(203) 510-7054
Mailing address
94 WOOD CREEK RD, BETHLEHEM, CT 06751-1705
(203) 510-7054
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/28/2018
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