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Organization

SOUTHEAST COUNSELING ASSOCIATES, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HERBERT NIEBURG PH.D. (PRESIDENT)
(860) 599-2125
Entity
Organization

Contact information

Practice address
185 S BROAD ST STE 103, PAWCATUCK, CT 06379-1997
(860) 599-2125
(401) 322-0883
Mailing address
185 S BROAD ST STE 103, PAWCATUCK, CT 06379-1997
(860) 599-2125
(401) 322-0883

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
000880
CT

Other

Enumeration date
03/21/2008
Last updated
03/21/2008
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