Organization · Type 2 NPI
Pequot Counseling Center, LLC
Professional Counselor · Groton, CT
NPI number
1366760605
Active
Practice location
230 Prospect Hill Rd
Groton, CT 06340-5545
Fax (860) 536-2794
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CT 000170 (CT) |
Professional Counselor: Definition to come...
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About NPI 1366760605
Pequot Counseling Center, LLC's National Provider Identifier is 1366760605, issued on May 11, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Groton, CT. The record was last updated on May 11, 2010.