| Waves Of Change Counseling Services, Llc | |
|
92 N Summit St Ste 2e Southington CT 06489-3000 | |
| (203) 677-0919 | |
| Not Available |
| Full Name | Waves Of Change Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 92 N Summit St Ste 2e, Southington, Connecticut |
| Authorized Official Name and Position | Chrystal Long (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2036770919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Of Change Counseling Services, Llc 92 N Summit St Ste 2e Southington CT 06489-3000 Ph: () - | Waves Of Change Counseling Services, Llc 92 N Summit St Ste 2e Southington CT 06489-3000 Ph: (203) 677-0919 |
| NPI Number | 1487159117 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 03/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487159117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002045 (Connecticut) | Primary |
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