Individual
MS. GINELLE L CARSILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
141 FRANKLIN ST, STAMFORD, CT 06901-1014
(203) 969-0802
Mailing address
141 FRANKLIN ST, STAMFORD, CT 06901-1014
(203) 969-0802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2800
CT
Other
Enumeration date
09/03/2008
Last updated
11/16/2015
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