The Center for Healing Indigo Wisdom Professional Counseling LLC
NPI #1588121099 in Jewett City, Connecticut
Provider Information
- NPI Number
- 1588121099
- Entity Type
- Organization
- Organization Name
- The Center for Healing Indigo Wisdom Professional Counseling LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 21, 2019
- Last Updated
- Feb 22, 2019
Practice Location
- Address
- 17 MATHEWSON ST
- City
- Jewett City
- State
- Connecticut
- ZIP Code
- 06351-2213
- Phone
- (860) 204-2933
Authorized Official
- Name
- DONNA A JOHNSTON, LCSW
- Title
- OWNER/LCSW
- Phone
- (860) 204-2933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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