Organization
SIDWAY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN P SIDWAY MS, LMFT (OWNER)
(203) 525-2091
Entity
Organization
Contact information
Practice address
76 WESTBURY PARK RD, SUITE 303E, WATERTOWN, CT 06795-2779
(203) 525-2091
(860) 417-6099
Mailing address
76 WESTBURY PARK RD, SUITE 303E, WATERTOWN, CT 06795-2779
(203) 525-2091
(860) 417-6099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001484
CT
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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