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Individual
MR. LOUIS VINCENT VISCOSI III
Active
Individual
MR. LOUIS VINCENT VISCOSI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0004655
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004254885
—
CT
01
—
060669107
UNITED BEHAVIORAL HEALTH - WELLMORE GRP/FACILITY
CT
01
—
11341132
CAQH
CT
01
—
347109
MHN MANAGED HEALTH NETWORK
CT
01
—
D339209
VALUE OPTIONS/BEACON HEALTH STRATEGIES
CT
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
Enumeration date
01/16/2007
Last updated
12/24/2015
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