Individual
JUDITH DISSELL BALCEZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
132 GROVE ST., TORRINGTON, CT 06790
(860) 482-5558
Mailing address
132 GROVE ST., TORRINGTON, CT 06790
(860) 482-5558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2885
CT
101Y00000X
Counselor
—
—
Other
Enumeration date
03/04/2009
Last updated
07/10/2014
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