Individual
ANTONIETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
Mailing address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002500
CT
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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