Individual
HEATHER PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
79A NORWICH AVE, COLCHESTER, CT 06415-1276
(860) 978-9098
Mailing address
53 WHITE OAK DR, COLCHESTER, CT 06415-1962
(860) 978-9098
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002367
CT
Other
Enumeration date
05/31/2013
Last updated
06/10/2013
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