Individual provider · Type 1 NPI

Diana Lynn Phaneuf, LPC

Professional Counselor · Milford, CT

NPI number 1144345554 Active

Practice location

949 Bridgeport Ave
Milford, CT 06460-3142

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0008889 (CT)
Adult Psychiatric/Mental Health Registered Nurse 163WP0809XE32952 (CT)

Professional Counselor: Definition to come...

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About NPI 1144345554

Diana Lynn Phaneuf, LPC's National Provider Identifier is 1144345554, issued on Mar 21, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milford, CT. The record was last updated on Sep 6, 2007.