| A Tree Of Life Counseling Center Llc | |
| 
					3 Barnard Ln 3rd Floor Bloomfield CT 06002-2452  | |
| (860) 455-3384 | |
| Not Available | 
| Full Name | A Tree Of Life Counseling Center Llc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 3 Barnard Ln, Bloomfield, Connecticut | 
| Authorized Official Name and Position | Kristen N Larson-samalus (CLINICAL SOCIAL WORKER) | 
| Authorized Official Contact | 8604553384 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| A Tree Of Life Counseling Center Llc 10 Miller Rd East Granby CT 06026-9735 Ph: (860) 455-3384  | A Tree Of Life Counseling Center Llc 3 Barnard Ln 3rd Floor Bloomfield CT 06002-2452 Ph: (860) 455-3384  | 
| NPI Number | 1730563016 | 
|---|---|
| Provider Enumeration Date | 07/16/2015 | 
| Last Update Date | 07/16/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730563016 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008567 (Connecticut) | Primary | 
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