Individual
MARISA ANGELA SOTOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LADC
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-1683
(860) 456-1311
Mailing address
189 STORRS RD, PO BOX 260, MANSFIELD CENTER, CT 06250-1683
(860) 967-5679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000812
CT
106H00000X
Marriage & Family Therapist
001277
CT
Other
Enumeration date
01/10/2007
Last updated
10/21/2009
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