Individual
DIANA M LUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
22 PINE ST, 205, BRISTOL, CT 06010-6948
(860) 463-3593
Mailing address
22 PINE ST, SUITE 205, BRISTOL, CT 06010-6948
(860) 463-3593
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/13/2009
Last updated
02/01/2017
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