Organization Name: | SE COUNSELING ASSOCIATES LTD |
NPI Number: | 1376818203 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE A GUIHER (OWNER) |
Mailing Address: | 185 S Broad St Suite 103 Pawcatuck |
State: | CT US |
Postal Code: | 063791997 |
Phone Number: | 8605992125 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2012 |
NPI Last Update Date: | 03/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 002952 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |