Organization
COMMUNITY COUNSELING CENTER OF CENTRAL CT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN CORSON III LPC (EXECUTIVE & CLINICAL DIRECTOR)
(860) 582-7904
Entity
Organization
Contact information
Practice address
53 MUIR AVE, BRISTOL, CT 06010-7215
(860) 582-7904
(860) 582-4350
Mailing address
53 MUIR AVE, BRISTOL, CT 06010-7215
(860) 582-7904
(860) 582-4350
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001465
CT
Other
Enumeration date
12/07/2006
Last updated
08/22/2020
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