Organization
EBB & FLOW CREATIVE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY TESS HANNAFIN LPC (OWNER / LPC)
(203) 479-0235
Entity
Organization
Contact information
Practice address
147 COTTAGE ST APT A7, NEW HAVEN, CT 06511-2449
(203) 479-0235
Mailing address
147 COTTAGE ST APT A7, NEW HAVEN, CT 06511-2449
(203) 479-0235
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
12/14/2022
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