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Organization

NEW LEAF COUNSELING & WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EGYPCIEL VICTOR-LOWDERBACK LMFT (SOLE MEMBER)
(860) 965-1111
Entity
Organization

Contact information

Practice address
638 PROSPECT AVE STE 300, HARTFORD, CT 06105-4203
(860) 965-1111
Mailing address
638 PROSPECT AVE STE 300, HARTFORD, CT 06105-4203
(860) 965-1111

Taxonomy

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

Other

Enumeration date
03/11/2024
Last updated
11/04/2025
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