Individual
MS. LADYLANIS DEL CARMEN GRULLON CEPEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
317 N MAIN ST, MANCHESTER, CT 06042-2007
(860) 643-2101
Mailing address
33 GODAR TER, EAST HARTFORD, CT 06118-1926
(860) 912-1821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7064
CT
101YP2500X
Professional Counselor
Primary
5649
CT
Other
Enumeration date
07/11/2022
Last updated
02/12/2024
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