Individual
MS. PAULETTE IRIS POWELL-REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2874 MAIN ST, SUITE 2 E, SECOND FLOOR, STRATFORD, CT 06614-4957
(203) 540-9898
Mailing address
PO BOX 699, STRATFORD, CT 06615-6646
(203) 258-8213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001455
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11582512
CAQH ID
—
01
—
240001455CT01
BLUE CROSS/BLUE SHIELD
CT
Enumeration date
08/22/2006
Last updated
03/03/2008
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