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Individual

ERICA L FORSELIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC, NCC

Contact information

Practice address
426 TAULMAN RD, ORANGE, CT 06477-3016
(203) 444-0429
Mailing address
575 S MERIDEN RD, CHESHIRE, CT 06410-2937
(203) 444-0429

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002971
CT
101YS0200X
School Counselor
C072014003304
CT

Other

Enumeration date
11/03/2016
Last updated
11/03/2016
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