Organization · Type 2 NPI
The Sacred Self, LLC
Professional Counselor · Newington, CT
NPI number
1104227685
Active
Practice location
171 Market Sq, Suite 102
Newington, CT 06111-2927
Fax (860) 561-5394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 002593 (CT) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1104227685
The Sacred Self, LLC's National Provider Identifier is 1104227685, issued on Sep 15, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newington, CT. The record was last updated on Sep 15, 2014.