Fundamental Family Therapy, LLC

NPI #1881079820 in Wolcott, Connecticut

Provider Information

NPI Number: 1881079820
Entity Type: Organization
Organization Name: Fundamental Family Therapy, LLC
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Jul 20, 2015
Last Updated: Jul 20, 2015

Practice Location

Address: 246 WOLCOTT RD
City: Wolcott
State: Connecticut
ZIP Code: 06716-2641
Phone: (203) 206-2784

Authorized Official

Name: JAIME RODRIGUEZ, LMFT
Title: OWNER
Phone: (203) 206-2784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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