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Individual

AIDA IRIS DIAZ-LA CILENTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
114 W MAIN ST STE 302, NEW BRITAIN, CT 06051-4223
(860) 390-1383
(860) 271-8312
Mailing address
114 W MAIN ST STE 302, NEW BRITAIN, CT 06051-4223
(860) 803-3143
(860) 271-8312

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
002692
CT
101YP2500X
Professional Counselor
Primary
2692
CT

Other

Enumeration date
07/27/2012
Last updated
03/04/2025
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