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General NPI Number Information
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NPI Number | 1952972663
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Entity Type | Organization
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Legal Business Name | COMFORTABLY COMPLICATED THERAPY & WELLNESS
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Dates
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Enumeration Date | 07/03/2021
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 367 SILVER LN STE 4
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City | EAST HARTFORD
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State | CT
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Zip | 06118-1027
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Country | US
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Telephone | 860-808-9018
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Fax |
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Provider Business Mailing Address
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Address Line | 53 NEW BRITAIN AVE STE 6
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City | ROCKY HILL
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State | CT
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Zip | 06067-1175
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Country | US
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Telephone | 860-245-8445
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER, CLINICIAN
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Name | ALICIA MARIE CRUZ
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Credential | LMFT
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Telephone | 860-808-9018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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