Individual
THEA SCHILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15 BERKSHIRE RD, SANDY HOOK, CT 06482-1361
(203) 426-8103
(203) 426-0550
Mailing address
15 BERKSHIRE RD, SANDY HOOK, CT 06482-1361
(203) 426-8103
(203) 426-0550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC-5466
CT
101YM0800X
Mental Health Counselor
Primary
001575
CT
Other
Enumeration date
03/26/2007
Last updated
06/27/2012
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