Organization
MINDFUL MATTERS COUNSELING, LLC
Active
Other names
Mindful Matters Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON LAURIE RADLO LCSW (LICENSED CLINICAL SOCIAL WORKER)
(860) 712-8165
Entity
Organization
Contact information
Practice address
5 MAGAURAN DR, STAFFORD SPRINGS, CT 06076-4037
(860) 712-8165
Mailing address
5 MAGAURAN DR, STAFFORD SPRINGS, CT 06076-4037
(860) 712-8165
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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