Individual
MS. HEATHER MARIE CASSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21 INDIAN WOODS RD, BRANFORD, CT 06405-3911
(203) 815-7838
Mailing address
149 DURHAM RD, MADISON, CT 06443-2677
(203) 779-9434
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003390
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1912489
ARTISTIC HEALINGS
CT
Enumeration date
03/25/2019
Last updated
03/25/2019
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