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Organization

COUNSELING CENTERS OF NEW ENGLAND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER R BOURQUE JR. APRN (OWNER)
(860) 990-9870
Entity
Organization

Contact information

Practice address
40 AVON MEADOW LN, AVON, CT 06001-3753
(860) 990-9870
Mailing address
40 AVON MEADOW LN, AVON, CT 06001-3753
(860) 990-9870

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5047
CT

Other

Enumeration date
09/28/2012
Last updated
09/28/2012
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