Individual
MS. SUSAN POLESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.PC., N.C.C.
Contact information
Practice address
158 DANBURY RD, SUITE 7, RIDGEFIELD, CT 06877-3227
(203) 278-5116
Mailing address
35 CROSBY RD, NORTH SALEM, NY 10560-1043
(914) 629-6378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/22/2016
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