Individual
MS. LISA-RENEE PEREZ-CABELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
31 CHERRY ST, MILFORD, CT 06460-3465
(203) 464-3290
Mailing address
72 CARLETON ST, HAMDEN, CT 06517-2702
(203) 865-0110
(203) 865-0110
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001105
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001105
STATE LICENSE NUMBER
CT
Enumeration date
05/06/2008
Last updated
08/12/2009
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