Individual
SUSAN BERTHIAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 TUTTLE RD, MIDDLETOWN, CT 06457
(860) 632-3231
Mailing address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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