Organization
CREATIVE CHANGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIANN ZANE LADC (MANAGER)
(860) 933-1356
Entity
Organization
Contact information
Practice address
10 HIGGINS HWY STE 14, MANSFIELD CENTER, CT 06250-1437
(860) 933-1356
Mailing address
PO BOX 151, WILLIMANTIC, CT 06226-0151
(860) 933-1356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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