Individual
MRS. JAQUELINE LAPA SUSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
11 SASQUA TRL, WESTON, CT 06883-1025
(203) 544-8409
(203) 544-7168
Mailing address
11 SASQUA TRL, WESTON, CT 06883-1025
(203) 544-8409
(203) 544-7168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000922
CT
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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