Individual
MRS. ANNA DERACO - SWIERCZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3553
Mailing address
154 EDGEMERE AVE, WEST HARTFORD, CT 06110-1004
(860) 236-0760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000905
CT
106H00000X
Marriage & Family Therapist
Primary
000905
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000905
LMFT LICENSE NUMBER
CT
Enumeration date
06/11/2010
Last updated
06/11/2010
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