Organization
JUST BREATHE CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY LYNN TUTTLE (OWNER)
(860) 255-4475
Entity
Organization
Contact information
Practice address
420 SOMERS RD, ELLINGTON, CT 06029-2629
(860) 255-4475
Mailing address
420 SOMERS RD, ELLINGTON, CT 06029-2629
(860) 255-4475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
002689
CT
1041C0700X
Clinical Social Worker
Primary
005794
CT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/31/2013
Last updated
06/01/2023
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