Individual
LORI EZZEDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 258-4171
Mailing address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 258-4171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005250
CT
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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