Organization
PETER PERROTTA MS., LPC., LADC., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PERROTTA MS., LPC., LADC (THERAPIST)
(860) 751-9125
Entity
Organization
Contact information
Practice address
50 ALBANY TPKE STE 3010, CANTON, CT 06019-2555
(860) 751-9125
Mailing address
PO BOX 55, UNIONVILLE, CT 06085-0055
(860) 751-9125
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3284
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
44.001162
CT
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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