Organization
INTROSPECTIVE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN REARDON LMFT (MANAGER)
(860) 845-2068
Entity
Organization
Contact information
Practice address
22 PINE ST, SUITE 205, BRISTOL, CT 06010-6948
(860) 845-2068
(860) 845-2365
Mailing address
22 PINE ST, SUITE 205, BRISTOL, CT 06010-6948
(860) 845-2068
(860) 845-2365
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001140
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004257334
—
CT
Enumeration date
06/04/2014
Last updated
06/04/2014
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