Individual
MISS LORY SETA JOLOLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
226 DIXWELL AVENUE, NORTHSIDE COMMUNITY OUTPATIENT SERVICES, NEW HAVEN, CT 06511-3456
(203) 503-3470
(203) 503-3478
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007844
NY
101YP2500X
Professional Counselor
Primary
3657
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
03/30/2017
Last updated
02/28/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us