Individual
PRISCILA GIANA PODESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 CENTERPOINT DR, MIDDLETOWN, CT 06457-7570
(203) 559-8244
Mailing address
101 WHITING ST APT C3, WINSTED, CT 06098-1867
(203) 559-8244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
27.00183
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-1288819
ANTHEN, CIGNA, AETNA
—
Enumeration date
05/27/2011
Last updated
06/11/2019
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