Individual
MS. LISA-BRIT WAHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, L.M.F.T.
Contact information
Practice address
412 W AVON RD, AVON, CT 06001-2500
(860) 785-4245
Mailing address
8 WAKEMAN RD, FAIRFIELD, CT 06824-5120
(860) 785-4245
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001001
CT
Other
Enumeration date
10/24/2014
Last updated
02/10/2015
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