Individual
MRS. MINDY M PACILEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 BOSTON POST RD, SUITES 3 4 CONNECTIONS COUNSELING WELLNESS CTR LLC, WATERFORD, CT 06385
(860) 444-8774
(860) 444-8776
Mailing address
PO BOX 328, 163 BOSTON POST RD SUITES 3 4, WATERFORD, CT 06385
(860) 444-8774
(860) 444-8776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001215
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240001215CT04
ANTHEM BCBS
—
01
—
269925
MHN
—
01
—
458669
VO
—
01
—
7361335
AETNA
—
01
—
P3676137
OXFORD
—
Enumeration date
12/28/2006
Last updated
07/08/2007
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