Individual provider · Type 1 NPI
Lisa Marie Tonnessen, PhD
Professional Counselor · Groton, CT
NPI number
1083713119
Active
Practice location
616 Goldstar Hgwy, Shoreline Counseling
Groton, CT 06340
Fax (860) 449-1954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000387 (CT) |
Professional Counselor: Definition to come...
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About NPI 1083713119
Lisa Marie Tonnessen, PhD's National Provider Identifier is 1083713119, issued on Sep 22, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Groton, CT. The record was last updated on Jul 8, 2007.