Organization
ROBIN ROSEN
Active
Other names
Tolland Center for Individual and Family Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN G. ROSEN LADC (OWNER)
(860) 875-2578
Entity
Organization
Contact information
Practice address
384 MERROW RD STE D, TOLLAND, CT 06084-3957
(860) 875-2578
(860) 875-9963
Mailing address
384 MERROW RD STE D, TOLLAND, CT 06084-3957
(860) 875-2578
(860) 875-9963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000365
CT
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
004864
CT
106H00000X
Marriage & Family Therapist
000631
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303116
MHN
CT
Enumeration date
02/07/2007
Last updated
02/15/2009
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