Individual
MS. PAULA ELLEN SISTARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
41 HARTFORD AVE., GRANBY, CT 06035-0206
(860) 844-8998
(860) 653-8077
Mailing address
41HARTFOD AVENUE, P. O. BOX 206, GRANBY, CT 06035-0206
(860) 844-8998
(860) 653-8077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001272
CT
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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