Individual
RENEE ELIZABETH AGNES TRILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
8 W MAIN ST STE 3-15, NIANTIC, CT 06357-2332
(860) 316-4428
Mailing address
1189 WASHINGTON ST # WE22, MIDDLETOWN, CT 06457-2948
(802) 855-3966
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6575
CT
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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