Organization
WHOLELISTIC SELF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAELA MORAES LPC (OWNER)
(203) 744-9837
Entity
Organization
Contact information
Practice address
57 NORTH ST, SUITE 312, DANBURY, CT 06810-5660
(203) 744-9837
Mailing address
57 NORTH ST, SUITE 312, DANBURY, CT 06810-5660
(203) 744-9837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002320
CT
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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