Individual
ANGELINA BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 CENTER ST, MANCHESTER, CT 06040-3926
(860) 646-3888
(860) 645-4132
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
11/23/2010
Last updated
05/11/2017
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