person
Ms. Stephanie Jane Smith, LPC
Counselor in Willimantic, Connecticut
NPI 1548379266

Stephanie Jane Smith is a Counselor based in Willimantic, CT. Stephanie Jane Smith practices in Willimantic, CT and has the professional credentials of LPC. The NPI Number for Stephanie Jane Smith is 1548379266 and holds a License No. 001292 (Connecticut).

The current practice location address for Stephanie Jane Smith is 40 Bolivia St, Willimantic, CT and can be reached out via phone at 860-423-5353 and via fax at 860-423-5353.

Location: 40 Bolivia St, Willimantic, CT, 06226-2843
person
Provider Profile Details
NPI Number
1548379266
Provider Name
Stephanie Jane Smith
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
40 Bolivia St, Willimantic, CT, 06226-2843
Phone Number
860-423-5353
Fax Number
860-423-5353
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322796 01 MHN
240001292CT01 01 CT ANTHEM BCBS
11244656 01 CT CAQH
institution
Provider Business Practice Location Address Details
Address
40 Bolivia St
City
State
Zip
06226-2843
Phone Number
860-423-5353
Fax Number
860-423-5353
person
Provider Business Mailing Address Details
Address
40 Bolivia St
City
State
Zip
06226-2843
Phone Number
860-423-5353
Fax Number
860-423-5353
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
001292 (Connecticut)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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