Individual
GHOSIA RAQIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
187 S CANAAN RD, CANAAN, CT 06018-2544
(877) 200-0637
Mailing address
23 LEDYARD RD, NEW BRITAIN, CT 06053-3418
(914) 721-3710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006952
CT
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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