Organization
BRIGHT SIDE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISA FORMAN ATR, LPC (CLINICAL THERAPIST/SOLE PROPRIETOR)
(860) 338-6706
Entity
Organization
Contact information
Practice address
122A NAUBUC AVE, SUITE 210, GLASTONBURY, CT 06033-4246
(860) 338-6706
Mailing address
122A NAUBUC AVE, SUITE 210, GLASTONBURY, CT 06033-4246
(860) 338-6706
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
001617
CT
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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