Individual
ROSE BRUNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
678 CHASE PKWY, WATERBURY, CT 06708-3050
(000) 000-0000
Mailing address
678 CHASE PKWY, WATERBURY, CT 06708-3050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003169
CT
101YM0800X
Mental Health Counselor
003169
CT
101YP2500X
Professional Counselor
003169
—
Other
Enumeration date
06/28/2017
Last updated
06/02/2021
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