Individual
SHANTI LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
531 MAIN ST, EAST HARTFORD, CT 06108-3305
(860) 282-8882
(860) 282-8890
Mailing address
531 MAIN ST, EAST HARTFORD, CT 06108-3305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
Other
Enumeration date
05/16/2022
Last updated
05/17/2022
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