Organization
CT MEDIATION AND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW PAUL BOHONOWICZ LPC (THERAPIST-MEDIATOR)
(860) 890-8689
Entity
Organization
Contact information
Practice address
357 E CENTER ST, MANCHESTER, CT 06040-4472
(860) 890-8689
Mailing address
357 E CENTER ST, MANCHESTER, CT 06040-4472
(860) 890-8689
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
002174
CT
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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