Individual
MARISA MASTRIANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
82 MAIN ST S, APARTMENT B, BETHLEHEM, CT 06751-2030
(860) 488-8146
Mailing address
82 MAIN ST S, APARTMENT B, BETHLEHEM, CT 06751-2030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002938
CT
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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