Individual provider · Type 1 NPI
Thomas J. Modzelesky, BA
Counselor · Suffield, CT
NPI number
1013140656
Active
Practice location
88 Somerwynd Ln
Suffield, CT 06078-1229
Fax (860) 668-2838
Mailing address
50 Griswold St, Hospital Of Central Connecticut
New Britain, CT 06052-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: 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.
About NPI 1013140656
Thomas J. Modzelesky, BA's National Provider Identifier is 1013140656, issued on Aug 31, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Suffield, CT. The record was last updated on Sep 1, 2009.