Lissette Larue, LPC
Counselor, Professional in Gales Ferry, Connecticut
1629314620- Practice location
- 1649 Route 12, Suite 4, Gales Ferry, CT 06335-1545
- Phone
- 860-578-2349
- Fax
- —
- Last updated
- April 18, 2016
Lissette Larue is a Counselor, Professional based in Gales Ferry, CT. Lissette Larue practices in Gales Ferry, CT and has the professional credentials of LPC. The NPI Number for Lissette Larue is 1629314620 and holds a License No. 2321 (CT). The current practice location address for Lissette Larue is 1649 Route 12, Suite 4, Gales Ferry, CT 06335-1545 and can be reached out via phone at 860-578-2349.
Provider Profile Details
- NPI Number
- 1629314620
- Provider Name
- Lissette Larue
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1649 Route 12, Suite 4, Gales Ferry, CT 06335-1545
- Phone Number
- 860-578-2349
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 19, 2012
- Last Update Date
- April 18, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1649 Route 12
Suite 4
Gales Ferry, CT 06335-1545 - City
- Gales Ferry
- State
- Connecticut
- Zip
- 06335-1545
- Phone Number
- 860-578-2349
Provider Business Mailing Address Details
- Address
- 1649 Route 12
Suite 4
Gales Ferry, CT 06335-1545 - City
- Gales Ferry
- State
- CT
- Zip
- 06335-1545
- Phone Number
- 860-578-2349
License Information
- License Number
- 2321
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lissette Larue, LPC?
The NPI number of Lissette Larue, LPC is 1629314620. It was assigned on December 19, 2012 and is currently active in the NPPES registry.
What is the specialty of Lissette Larue, LPC?
Lissette Larue, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 2321.
Where does Lissette Larue, LPC practice?
The practice location is 1649 Route 12, Suite 4, Gales Ferry, CT 06335-1545. The office can be reached at 860-578-2349 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629314620 directly on the NPPES registry website.