Individual
MR. LOUIS VINCENT VISCOSI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
141 E MAIN ST, WATERBURY CLINICAL SERVICES 2ND FLOOR, WATERBURY, CT 06702-2310
(203) 756-7387
(203) 596-0722
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0004655
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004254885
—
CT
01
—
060669107
UNITED BEHAVIORAL HEALTH - WELLMORE GRP/FACILITY
CT
01
—
11341132
CAQH
CT
01
—
347109
MHN MANAGED HEALTH NETWORK
CT
01
—
D339209
VALUE OPTIONS/BEACON HEALTH STRATEGIES
CT
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
Enumeration date
01/16/2007
Last updated
12/24/2015
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