Individual
LISSETTE LARUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1649 ROUTE 12, SUITE 4, GALES FERRY, CT 06335-1545
(860) 578-2349
Mailing address
1649 ROUTE 12, SUITE 4, GALES FERRY, CT 06335-1545
(860) 578-2349
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2321
CT
Other
Enumeration date
12/19/2012
Last updated
04/18/2016
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