Individual
SUSAN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5 BROOK ST STE 1A, DARIEN, CT 06820-4549
(203) 858-8834
Mailing address
97 5 MILE RIVER RD, DARIEN, CT 06820-6233
(203) 253-9607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004363
CT
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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