Organization
METAMORPHOSIS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNISSE VAZQUEZ MSW, LADC (LICENSED DRUG AND ALCOHOL COUNSELOR)
(860) 902-7050
Entity
Organization
Contact information
Practice address
106 FARMINGTON AVE STE 2B, NEW BRITAIN, CT 06053-2977
(860) 902-7050
(860) 902-7050
Mailing address
106 FARMINGTON AVE STE 2B, NEW BRITAIN, CT 06053-2977
(860) 902-7050
(860) 902-7050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000883
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008038649
—
CT
Enumeration date
10/11/2017
Last updated
10/11/2017
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