Individual
CORLISS J. RACSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
227 MONROE TPKE STE 3B, MONROE, CT 06468-6202
(203) 268-8293
(203) 452-7077
Mailing address
227 MONROE TPKE STE 3B, MONROE, CT 06468-6202
(203) 268-8293
(203) 452-7077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001340
CT
Other
Enumeration date
08/25/2006
Last updated
10/26/2009
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