Organization
ORIGIN STORIES COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN RUIZ LMFT (OWNER)
(203) 243-4551
Entity
Organization
Contact information
Practice address
127 BRADLEY AVE, HAMDEN, CT 06514-3910
(203) 243-4551
Mailing address
127 BRADLEY AVE, HAMDEN, CT 06514-3910
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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