Organization
BARBARA CANALES, LPC, MA, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA FARELL LPC, MA, MS (LICENSED PROFESSIONAL COUNSELOR)
(617) 460-3092
Entity
Organization
Contact information
Practice address
291 WHITNEY AVE, NEW HAVEN, CT 06511-3724
(617) 460-3092
Mailing address
291 WHITNEY AVE, NEW HAVEN, CT 06511-3724
(617) 460-3092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236338
—
CT
Enumeration date
03/27/2015
Last updated
03/27/2015
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