Individual
MR. JOHN F SIDOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2 VANCE DRIVE, MIDDLETOWN, CT 06457
(860) 344-2244
Mailing address
148 CANAL ST, WESTERLY, RI 02891-1553
(401) 348-0135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000384
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000384
PROFESSIONAL COUNSELOR
CT
Enumeration date
11/09/2006
Last updated
07/08/2007
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