Individual
MRS. ROXANNA G CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9 UNION SQ UNIT 1088, SOUTHBURY, CT 06488-2204
(203) 808-3543
Mailing address
9 UNION SQ UNIT 1088, SOUTHBURY, CT 06488-2204
(203) 808-3543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5593
CT
Other
Enumeration date
06/09/2022
Last updated
07/29/2022
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