Organization
ANN OSOBA LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN K OSOBA LPC (LICENSE PROFESSIONAL COUNSELOR)
(860) 265-8687
Entity
Organization
Contact information
Practice address
10 DALE STREET, SECOND FLOOR, WEST HARTFORD, CT 06107-1815
(860) 265-8687
Mailing address
10 DALE STREET, SECOND FLOOR, WEST HARTFORD, CT 06107-1815
(860) 265-8687
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004083672
—
CT
01
—
12477522
CAQH
CT
Enumeration date
02/18/2021
Last updated
02/18/2021
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