Individual
LISA LACEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1224 MILL ST STE B001, EAST BERLIN, CT 06023-1166
(860) 578-2020
Mailing address
100 BEACON ST, NEWINGTON, CT 06111-4702
(860) 578-2020
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1771
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008062479
—
CT
Enumeration date
08/13/2012
Last updated
02/16/2024
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