Individual
SUE ELLEN GOSTANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2 OLD NEW MILFORD RD, 2F, BROOKFIELD, CT 06804-2426
(203) 775-2583
(203) 775-2863
Mailing address
2 OLD NEW MILFORD RD, 2F, BROOKFIELD, CT 06804-2426
(203) 775-2583
(203) 775-2863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000111
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004332774
AETNA HEALTH CARE
CT
01
—
0102904
GHI
CT
01
—
018638
MHN
CT
01
—
1065880000
MAGELLAN HEALTH CARE
CT
01
—
132249
VALUE OPTIONS
CO
01
—
240000111CT01
ABH
CT
01
—
9374982
PHCS
CT
01
—
P1093372
OXFORD HEALTH CARE
CT
Enumeration date
06/28/2006
Last updated
07/09/2007
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