Individual
MRS. SUSAN LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
393 CENTER ST, WALLINGFORD, CT 06492-4225
(860) 716-5545
Mailing address
393 CENTER ST, WALLINGFORD, CT 06492-4225
(860) 716-5545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000193
CT
101YP2500X
Professional Counselor
Primary
000581
CT
Other
Enumeration date
11/01/2006
Last updated
09/14/2011
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