Organization
COUNSELING AFFILIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK THAW PH.D. (PARTNER)
(860) 659-2697
Entity
Organization
Contact information
Practice address
300 HEBRON AVE, SUITE 217, GLASTONBURY, CT 06033-2176
(860) 659-2697
(860) 659-3468
Mailing address
300 HEBRON AVE, SUITE 217, GLASTONBURY, CT 06033-2176
(860) 659-2697
(860) 659-3468
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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