Individual
MS. SUSAN A. BORITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
25 CHURCH HILL RD STE 201B, NEWTOWN, CT 06470-1646
(203) 917-8585
(203) 826-2211
Mailing address
401A HERITAGE VLG, SOUTHBURY, CT 06488-5708
(203) 917-8585
(203) 826-2211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000910
CT
101YM0800X
Mental Health Counselor
001240
CT
106H00000X
Marriage & Family Therapist
Primary
001240
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004257318
—
CT
Enumeration date
09/11/2008
Last updated
04/08/2024
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