Individual
TANIA PATRICELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
173 MONTOWESE ST, BRANFORD, CT 06405-3887
(203) 433-0299
(203) 643-2042
Mailing address
112 CHARTER OAK AVE, EAST HAVEN, CT 06512-2775
(203) 415-5645
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
12/22/2008
Last updated
11/17/2011
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