Individual
MS. ELAINE A POULOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
64 ROBBINS ST, CRISIS INTERVENTION CENTER, WATERBURY, CT 06708-2613
(203) 573-6500
(203) 573-6792
Mailing address
22 BURNHAM ST, PLAINVILLE, CT 06062-1702
(860) 747-2997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000721
CT
Other
Enumeration date
11/18/2005
Last updated
07/08/2007
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