Individual
LAURA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
304 MAIN ST STE B214, FARMINGTON, CT 06032-2985
(203) 715-8040
Mailing address
107 GODEK HILL RD, MERIDEN, CT 06451-5081
(203) 715-8040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4553
CT
Other
Enumeration date
09/10/2020
Last updated
02/23/2026
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