Individual
SUSAN MAYO COLANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LPC, LADC
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
Mailing address
163 MAYFLOWER ST, WEST HARTFORD, CT 06110-1421
(860) 371-6284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
669
CT
101YP2500X
Professional Counselor
1843
CT
106H00000X
Marriage & Family Therapist
1027
CT
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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