SAMANTHA L BIRTWELL
Marital and Family Therapist


Address: 13 Roosevelt Dr, Newtown, CT 06470-2035

SAMANTHA L BIRTWELL (Credential# 1214344) is licensed (Marital and Family Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

SAMANTHA L BIRTWELL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #27.001736. The credential type is marital and family therapist. The effective date is January 1, 2020. The expiration date is December 31, 2020. The business address is 13 Roosevelt Dr, Newtown, CT 06470-2035. The current status is active.

Basic Information

Licensee Name SAMANTHA L BIRTWELL
Credential ID 1214344
Credential Number 27.001736
Credential Type Marital and Family Therapist
Business Address 13 Roosevelt Dr
Newtown
CT 06470-2035
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-05-01
Effective Date 2020-01-01
Expiration Date 2020-12-31
Refresh Date 2019-12-03

Office Location

Street Address 13 ROOSEVELT DR
City NEWTOWN
State CT
Zip Code 06470-2035

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Courtney M Parker 153 Boggs Hill Rd, Newtown, CT 06470 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City NEWTOWN
Zip Code 06470
License Type Marital and Family Therapist
License Type + County Marital and Family Therapist + NEWTOWN

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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