Organization · Type 2 NPI

Portland Youth Services

Mental Health Counselor · Portland, CT

NPI number 1568624088 Active

Practice location

265 Main St
Portland, CT 06480-1857

Mailing address

PO Box 71
Portland, CT 06480-0071

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X000967 (CT)

Mental Health Counselor: Definition to come...

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About NPI 1568624088

Portland Youth Services's National Provider Identifier is 1568624088, issued on Jun 26, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, CT. The record was last updated on Jun 26, 2008.