Individual
SUSAN MATLIN PICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
200 W CENTER ST STE C3, MANCHESTER, CT 06040-4870
(844) 428-8728
(860) 432-1477
Mailing address
200 W CENTER ST STE C3, MANCHESTER, CT 06040-4870
(844) 428-8728
(860) 432-1477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3637
CT
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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