Middlesex Wellness & Mediation, LLC
NPI #1467815449 in Essex, Connecticut
Provider Information
- NPI Number
- 1467815449
- Entity Type
- Organization
- Organization Name
- Middlesex Wellness & Mediation, LLC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Mar 29, 2016
- Last Updated
- Mar 29, 2016
Practice Location
- Address
- 80-1 PLAINS RD
- City
- Essex
- State
- Connecticut
- ZIP Code
- 06426-1501
- Phone
- (860) 510-6130
Authorized Official
- Name
- JACQUELYNN RUSSO-BOUDINOT, LMFT, NCC
- Title
- OWNER
- Phone
- (860) 510-6130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Marriage & Family Therapist |
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