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Individual

SHIRLEY RILETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-A

Contact information

Practice address
58 FOREST LAWN AVE, STAMFORD, CT 06905-4305
(203) 274-2955
Mailing address
58 FOREST LAWN AVE, STAMFORD, CT 06905-4305
(203) 274-2955

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9681
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/28/2025
Last updated
06/09/2026
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