Preservation Within Therapy Practice, LLC

NPI #1891313797 in Putnam, Connecticut

Provider Information

NPI Number: 1891313797
Entity Type: Organization
Organization Name: Preservation Within Therapy Practice, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 8, 2020
Last Updated: Jul 8, 2020

Practice Location

Address: 134 MAIN ST
City: Putnam
State: Connecticut
ZIP Code: 06260-1920
Phone: (860) 926-0142

Authorized Official

Name: AMANDA JEAN NOWAK, LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (860) 926-0142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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