Individual
MS. DIANE MARY TOBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,NCC,LPC
Contact information
Practice address
50 ALBANY TPKE BLDG 5 FLOOR 2, CANTON, CT 06019-2516
(860) 485-4245
(860) 482-0737
Mailing address
308 HIGHFIELD DR, TORRINGTON, CT 06790-5827
(860) 485-4245
(860) 482-0737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03385117
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24000150CT01
ANTHEM BLUE CROSS & SHIEL
CT
Enumeration date
05/20/2007
Last updated
07/08/2007
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