Individual
MS. BARBARA FEROE VIETZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 S MAIN ST, BRANFORD, CT 06405-3800
(203) 481-2887
(203) 488-9087
Mailing address
15 W HAYCOCK POINT RD, BRANFORD, CT 06405-5307
(203) 488-4688
(203) 488-9087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000143
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000143
LICENSE
CT
Enumeration date
02/01/2007
Last updated
07/08/2007
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