Organization
SAGE VALLEY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE MARY GOHIL LPC (LICENSED PROFESSIONAL COUNSELOR)
(203) 800-5809
Entity
Organization
Contact information
Practice address
12 ARROWHEAD RD, TRUMBULL, CT 06611
(475) 277-2602
Mailing address
1204 MAIN ST STE 516, BRANFORD, CT 06405-3787
(475) 277-2602
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
07/24/2024
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