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Organization

DAYSPRING THERAPEUTIC GROUP LLC

Active
Other names
Dayspring Therapeutic Group, Khalilah Abdulrahim
Organization subpart
No

Provider details

NPI number
Authorized official
KHALILAH ABDULRAHIM LCSW (DIRECTOR)
(203) 936-9510
Entity
Organization

Contact information

Practice address
30 HAZEL TER STE 20, WOODBRIDGE, CT 06525-2240
(203) 936-9510
Mailing address
PO BOX 6685, HAMDEN, CT 06517-0685
(203) 936-9510

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103TC2200X
Clinical Child & Adolescent Psychologist
1041C0700X
Clinical Social Worker
Primary
106H00000X
Marriage & Family Therapist
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
01/19/2022
Last updated
01/19/2022
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