Organization
PHETSAMON DILULLO
Active
Organization
PHETSAMON DILULLO
Active
Parent organization
CONNECTICUT THERAPEUTIC COUNSELING LLC
Other names
Connecticut Therapeutic Counseling LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTICUT THERAPEUTIC COUNSELING LLC
Authorized official
MRS. PHETSAMON DILULLO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(413) 896-0874
Entity
Organization
Contact information
Practice address
25 CLERMONT ST, HARTFORD, CT 06106-3904
(413) 896-0874
Mailing address
25 CLERMONT ST, HARTFORD, CT 06106-3904
(413) 896-0874
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
04/11/2019
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