Individual
DIANE CENOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 BROAD ST, MIDDLETOWN, CT 06457-3204
(860) 358-3441
(860) 358-3403
Mailing address
51 BROAD ST, MIDDLETOWN, CT 06457-3204
(860) 358-3441
(860) 358-3403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2792
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2792
CT LIC #
CT
Enumeration date
07/24/2015
Last updated
07/24/2015
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