Individual
LAUREN LARUSSO DRAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
100 MAIN ST, OLD SAYBROOK, CT 06475-2365
(914) 288-6552
Mailing address
146 MAPLE AVE, OLD SAYBROOK, CT 06475-2451
(773) 569-5422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002719
CT
101YM0800X
Mental Health Counselor
006885-1
NY
101YM0800X
Mental Health Counselor
PC007060
PA
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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