Individual
MRS. ANDREA SIMANDY CHIAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
158 UNION ST, DEEP RIVER, CT 06417-1749
(860) 526-5340
Mailing address
158 UNION ST, DEEP RIVER, CT 06417-1749
(860) 526-5340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001132
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240001132CT02
BLUE CROSS AND BLUE SHIELD
CT
Enumeration date
05/19/2008
Last updated
05/19/2008
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