Courageous Counseling LLC
Social Worker, Clinical in Glastonbury, CT. Organization (NPI-2).
NPI number1942020375
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1942020375
- Entity type
- Organization (NPI-2)
- Legal business name
- Courageous Counseling LLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2024
- Certification date
- Oct 10, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP1600X | Counselor, Pastoral | – | – | |
| 103G00000X | Clinical Neuropsychologist | – | – |
Practice location
41c New London Tpke Ste 4Glastonbury, CT 06033-4209
Phone 475-331-9065
Mailing address
41c New London Tpke Ste 4Glastonbury, CT 06033-4209
Phone 475-331-9065
Authorized official
Lindsey Monique Desorbo
Ceo/Manager
4753319065
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