Individual
ELEA R BUSHATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2666 STATE ST STE A3, HAMDEN, CT 06517-2232
(888) 754-0398
Mailing address
193 MOUNTAIN VIEW RD, SOMERS, CT 06071-2230
(516) 469-8155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225X00000X
Occupational Therapist
Primary
5869
CT
Other
Enumeration date
09/28/2018
Last updated
03/31/2023
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