Individual
LISA M ANNUNZIATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 GEM DR, WILLIMANTIC, CT 06226-1104
(475) 529-5959
Mailing address
42 GEM DR, WILLIMANTIC, CT 06226-1104
(475) 529-5959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068.0136920TELE
VT
101YM0800X
Mental Health Counselor
Primary
9091
CT
Other
Enumeration date
02/05/2025
Last updated
11/12/2025
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