Organization
NORTHWESTERN CONNECTICUT COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICAH MANN LADC (OWNER)
(860) 877-4320
Entity
Organization
Contact information
Practice address
434 PROSPECT ST, TORRINGTON, CT 06790-4937
(860) 877-4320
Mailing address
37 BRIDLE DR, BARKHAMSTED, CT 06063-3425
(860) 877-4320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000689
CT
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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