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Side Quest Counseling Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
SIDE QUEST COUNSELING LLC15781654602020-11-15
Entity TypeOrganization
Provider OrganizationSIDE QUEST COUNSELING LLC
Practice Office Address494 BRIDGEPORT AVE STE 101-333
SHELTON, CT US
Practice Office Telephone2032901661
Mailing Address494 BRIDGEPORT AVE STE 101-333
SHELTON, CT 064844748 US
Business Telephone2032901661
Authorized OfficialLISA MOHR, OWNER
2032901661
HPT Codes
CodeLicense NoState
1041C0700X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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