Individual
MARISSA R GAGLIARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
232 CEDAR STREET, SOUTH CENTRAL REHABILITATION CENTER, NEW HAVEN, CT 06519-1610
(203) 503-3300
(203) 401-3352
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3151
CT
Other
Enumeration date
07/09/2014
Last updated
02/01/2018
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