Individual
STACEY BOISSELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
60 OLD TOWN RD UNIT 107, VERNON, CT 06066-6404
(860) 214-3113
Mailing address
60 OLD TOWN RD. UNIT 107, VERNON, CT 06066
(860) 214-3113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002583
CT
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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