Individual
KAREN Z RUSTICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
270 FARMINGTON AVE, SUITE 208, FARMINGTON, CT 06032
(860) 674-0665
(860) 677-5412
Mailing address
270 FARMINGTON AVE, SUITE 208, FARMINGTON, CT 06032
(860) 674-0665
(860) 677-5412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000236CT
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000236CT02
BC
CT
01
—
304784
MHN
CT
Enumeration date
02/06/2007
Last updated
07/08/2007
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