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Individual

MRS. NANCY RAMOS DIONIZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,BA,LPC,NCC

Contact information

Practice address
141 E MAIN ST, 3RD FLOOR HOME BASED SERVICES, WATERBURY, CT 06702-2310
(203) 575-0466
(203) 575-1817
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002348
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008049659
CT
01
060669107
ANTHEM BCBS OF CT BEHAVIORAL HEALTH-WELLMORE, INC GRP/FACILITY
CT
01
13547449
CAQH
CT
01
240816
NATIONAL CERTIFIED COUNSELOR/NCC EXPIRES 11/30/2019
CT
01
4679990
CIGNA BEHAVIORAL HEALTH
CT
01
539517
TRICARE NORTH-MHN
CT
01
539518
MANAGED HEALTH NETWORK-MHN
CT
01
9959987
AETNA BEHAVIORAL HEALTH
CT
01
D339209 WATERBURY
BEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY
CT
Enumeration date
03/21/2012
Last updated
08/25/2016
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