Individual
SUSAN GOLDFARB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
477 MAIN ST, SUITE 208, MONROE, CT 06468-1139
(203) 220-2208
(203) 220-2247
Mailing address
477 MAIN ST, SUITE 208, MONROE, CT 06468-1139
(203) 220-2208
(203) 220-2247
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000418
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004227402
—
CT
Enumeration date
03/19/2015
Last updated
03/19/2015
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