Individual
PETER C LACZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
540 LITCHFIELD ST, C/O ROSA PAGANO, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6389
Mailing address
540 LITCHFIELD ST, C/O ROSA PAGANO, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6389
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001843
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
06/18/2012
Last updated
11/22/2016
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