Individual
CARRIE MARIE LOUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
998 FARMINGTON AVE STE 207, HARTFORD, CT 06107-2184
(203) 500-4911
Mailing address
1000 S MAIN ST, PLANTSVILLE, CT 06479-1681
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003197
CT
Other
Enumeration date
06/10/2017
Last updated
06/10/2017
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