Organization
SUSAN P DUNKO MS LPC LLC
Active
Organization
SUSAN P DUNKO MS LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN DUNKO MS, LPC (LICENSED PROFESSIONAL COUNSELOR)
(860) 341-2304
Entity
Organization
Contact information
Practice address
17 HICKORY HILL DR, ANDOVER, CT 06232-1013
(860) 341-2304
Mailing address
17 HICKORY HILL DR, ANDOVER, CT 06232-1013
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578891891
NPI
CT
Enumeration date
10/06/2020
Last updated
10/06/2020
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