Organization
BAYSIDE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA MARIE OTRIN LPC (OWNER/MEMBER)
(860) 399-9500
Entity
Organization
Contact information
Practice address
1921 BOSTON POST RD, #207, WESTBROOK, CT 06498-2171
(860) 399-9500
(888) 232-7553
Mailing address
1921 BOSTON POST RD STE 207, PO BOX 47, WESTBROOK, CT 06498-2171
(860) 399-9500
(888) 232-7553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001294
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008013938
—
CT
Enumeration date
12/16/2008
Last updated
01/30/2013
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