Individual
LORI A STANCZYC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC, CPS, ES
Contact information
Practice address
395 W AVON RD STE 4, AVON, CT 06001-2200
(860) 614-2647
Mailing address
395 W AVON RD STE 4, AVON, CT 06001-2200
(860) 614-4092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00600
CT
Other
Enumeration date
01/17/2021
Last updated
08/28/2021
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