Organization
MAGNOLIA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA DAVENPORT LMFT (LICENSED MARITAL & FAMILY THERAPIST)
(860) 668-1444
Entity
Organization
Contact information
Practice address
11 HIGH ST STE 202, SUFFIELD, CT 06078-2125
(860) 668-1444
(860) 668-1446
Mailing address
11 HIGH ST STE 202, SUFFIELD, CT 06078-2125
(860) 668-1444
(860) 668-1446
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000724
CT
Other
Enumeration date
09/27/2013
Last updated
12/16/2023
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