Organization
NEVADOMSKI COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL NEVADOMSKI (SECRETARY/PRACTICE MANAGER)
(516) 204-3196
Entity
Organization
Contact information
Practice address
67 SHANE DR, SOUTHBURY, CT 06488-2678
(203) 632-9818
(203) 204-8480
Mailing address
67 SHANE DR, SOUTHBURY, CT 06488-2678
(516) 204-3196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/19/2023
Last updated
01/31/2024
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