Organization
NEW VISION CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MICHELLE SLADE NCC, LPC (PSYCHOTHERAPIST)
(203) 549-0852
Entity
Organization
Contact information
Practice address
1057 BROAD ST, 3RD FLOOR, BRIDGEPORT, CT 06604-4219
(203) 549-0852
Mailing address
72 READ ST, BRIDGEPORT, CT 06607-2016
(203) 549-0852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001781
CT
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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