Individual
MS. SUSANNAH JANE FORTE STAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MFT
Contact information
Practice address
591 POQUONNOCK RD, GROTON, CT 06340-4571
(860) 449-8217
(860) 449-8323
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
(860) 443-2896
(860) 442-5909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
06/13/2019
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