Individual
RYAN M PASSARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
731 MAIN ST STE 122, MONROE, CT 06468-2872
(203) 364-6802
Mailing address
15 CHIPMUNK TRL, SANDY HOOK, CT 06482-1135
(203) 364-6802
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3316
CT
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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