Organization · Type 2 NPI
Radiant Life Psychotherapy LLC
Professional Counselor · Windsor, CT
NPI number
1396357331
Active
Practice location
360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Mailing address
3 Camelot Dr Apt 4
Bloomfield, CT 06002-2749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1396357331
Radiant Life Psychotherapy LLC's National Provider Identifier is 1396357331, issued on Aug 20, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Windsor, CT. The record was last updated on Aug 20, 2020.