Individual provider · Type 1 NPI

Patrice Anthia Moulton, LPC

Professional Counselor · Bloomfield, CT

NPI number 1003359761 Active

Practice location

3 Northwestern Dr
Bloomfield, CT 06002-3465

Call (860) 243-3477 Map

Fax (860) 243-3224

Mailing address

38 Bennett Cir
Hartford, CT 06120-1153

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X3824 (CT)

Professional Counselor: Definition to come...

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About NPI 1003359761

Patrice Anthia Moulton, LPC's National Provider Identifier is 1003359761, issued on Nov 29, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bloomfield, CT. The record was last updated on Dec 12, 2019.