Individual
MRS. SUZANNE M CHRISTOFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC
Contact information
Practice address
88 OLD BROADWAY W, NORTH HAVEN, CT 06473-1631
(413) 717-0250
Mailing address
199 WAITE ST, HAMDEN, CT 06517-2530
(413) 717-0250
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003019
CT
101YP2500X
Professional Counselor
3019
CT
Other
Enumeration date
10/07/2016
Last updated
06/17/2021
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