person
Dominique Larosa, BA
Mental Health Counselor in Plainville, Connecticut
NPI 1831610211

Dominique Larosa is a Mental Health Counselor based in Plainville, CT and is specialized in Mental Health. Dominique Larosa practices in Plainville, CT and has the professional credentials of BA. The NPI Number for Dominique Larosa is 1831610211 and holds a License No. (Connecticut).

The current practice location address for Dominique Larosa is 73 East St, Plainville, CT and can be reached out via phone at 860-335-2960.

Location: 73 East St, Plainville, CT, 06062-2341
person
Provider Profile Details
NPI Number
1831610211
Provider Name
Dominique Larosa
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
73 East St, Plainville, CT, 06062-2341
Phone Number
860-335-2960
Fax Number
Provider Enumeration Date
07/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97054599605 01 CONNECTICARE
institution
Provider Business Practice Location Address Details
Address
73 East St
City
State
Zip
06062-2341
Phone Number
860-335-2960
Fax Number
person
Provider Business Mailing Address Details
Address
73 East St
City
State
Zip
06062-2341
Phone Number
860-335-2960
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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