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Individual

MARISSA SILVESTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT,MFT,BA

Contact information

Practice address
1187 QUEEN ST, SOUTHINGTON, CT 06489-1266
(203) 518-6747
(203) 490-4242
Mailing address
1187 QUEEN ST, SOUTHINGTON, CT 06489-1266
(203) 518-6747
(203) 490-4242

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1611
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004392020
CT
01
060669107
UBH/OXFORD FREEDOM-LIBERTY WELLMORE GRP/FACILITY
CT
01
12659252
CAQH
CT
01
4679887
CIGNA BEHAVIORAL HEALTH- WELLMORE
CT
01
9951843
AETNA BEHAVIORAL HEALTH
CT
01
D339123-141 E MAIN
BEACON HEALTH STRATEGIES
CT
01
PENDING
MHN TRICARENORTH
CT
Enumeration date
03/19/2012
Last updated
10/18/2023
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