person
Sue Ellen Gostanian, LPC
Professional Counselor in Brookfield, Connecticut
NPI 1871520304

Sue Ellen Gostanian is a Professional Counselor based in Brookfield, CT and is specialized in Professional. Sue Ellen Gostanian practices in Brookfield, CT and has the professional credentials of LPC. The NPI Number for Sue Ellen Gostanian is 1871520304 and holds a License No. 000111 (Connecticut).

The current practice location address for Sue Ellen Gostanian is 2 Old New Milford Rd, Brookfield, CT and can be reached out via phone at 203-775-2583 and via fax at 203-775-2863.

Location: 2 Old New Milford Rd, Brookfield, CT, 06804-2426
person
Provider Profile Details
NPI Number
1871520304
Provider Name
Sue Ellen Gostanian
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2 Old New Milford Rd, Brookfield, CT, 06804-2426
Phone Number
203-775-2583
Fax Number
203-775-2863
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0004332774 01 CT AETNA HEALTH CARE
1065880000 01 CT MAGELLAN HEALTH CARE
P1093372 01 CT OXFORD HEALTH CARE
018638 01 CT MHN
240000111CT01 01 CT ABH
9374982 01 CT PHCS
0102904 01 CT GHI
132249 01 CO VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
2 Old New Milford Rd
City
State
Zip
06804-2426
Phone Number
203-775-2583
Fax Number
203-775-2863
person
Provider Business Mailing Address Details
Address
2 Old New Milford Rd
City
State
Zip
06804-2426
Phone Number
203-775-2583
Fax Number
203-775-2863
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
000111 (Connecticut)
Definition
Definition to come...
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