Individual
MARIA LORETTO LACAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
124 WOODRIDGE DR S, STAMFORD, CT 06902-8334
(203) 979-8974
Mailing address
124 WOODRIDGE DR S, STAMFORD, CT 06902-8334
(203) 979-8974
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002053
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-2632131
TAX IDENTIFICATION NUMBER
CT
Enumeration date
08/31/2011
Last updated
08/31/2011
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