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Organization

COMMUNITY RENEWAL TEAM

Active
Other names
judith g hunt lmft
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LENA RODRIQUEZ (CEO)
(860) 714-9200
Entity
Organization

Contact information

Practice address
11 MOUNTAIN AVE, SUITE204, BLOOMFIELD, CT 06002-2343
(860) 286-0528
(860) 286-0585
Mailing address
11 MOUNTAIN AVE, SUITE204, BLOOMFIELD, CT 06002-2343
(860) 286-0528
(860) 286-0585

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000586
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1629145065
106H00000X
CT
Enumeration date
11/29/2006
Last updated
08/22/2020
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