Individual
PAULA ANNE DEAFENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
10 LONGVIEW TER, MADISON, CT 06443-3409
(203) 376-7414
Mailing address
10 LONGVIEW TER, MADISON, CT 06443-3409
(203) 245-7238
(203) 245-0614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000147
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000147
LICENSE
CT
Enumeration date
03/24/2007
Last updated
11/20/2023
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