Organization
EFFECTIVE EDUCATIONAL AND THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON DENICE TABLES LPC (COUNSELOR)
(617) 834-9969
Entity
Organization
Contact information
Practice address
1011 HOPE ST, STAMFORD, CT 06907-2121
(203) 539-1541
Mailing address
1011 HOPE ST, STAMFORD, CT 06907-2121
(203) 539-1541
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
07/30/2024
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