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Provident Properties Llc
Professional Counselor in Woodstock, Connecticut
NPI 1932661709

Provident Properties Llc is a Professional Counselor based in Woodstock, CT and is specialized in Professional. Provident Properties Llc practices in Woodstock, CT. The NPI Number for Provident Properties Llc is 1932661709 and holds a License No. (Connecticut).

The current practice location address for Provident Properties Llc is 283 Route 169, Woodstock, CT and can be reached out via phone at 860-215-2829.

Location: 283 Route 169, Woodstock, CT, 06281-0623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932661709
Provider Name
Provident Properties Llc
Credential
Provider Entity Type
Organization
Address
283 Route 169, Woodstock, CT, 06281-0623
Phone Number
860-215-2829
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164870200 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
283 Route 169
City
Woodstock
State
Connecticut
Zip
06281-0628
Phone Number
860-215-2829
Fax Number
person
Provider Business Mailing Address Details
Address
283 Route 169
City
Woodstock
State
Connecticut
Zip
06281-0628
Phone Number
860-215-2829
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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