Organization
INTEGRATED BILINGUAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE F VILLAFUERTE LCSW, LMSW (CLINICAL SOCIAL WORKER)
(203) 767-3607
Entity
Organization
Contact information
Practice address
628 GEORGE ST, NEW HAVEN, CT 06511-5362
(203) 767-3607
Mailing address
259 3RD AVE, WEST HAVEN, CT 06516-5404
(203) 767-3607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8777
CT
251S00000X
Community/Behavioral Health Agency
Primary
8777
CT
Other
Enumeration date
10/29/2014
Last updated
09/05/2015
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