Individual provider · Type 1 NPI
Stephanie Katherine Thibodeau
Mental Health Counselor · Yantic, CT
NPI number
1164040911
Active
Practice location
63 Sunnyside St
Yantic, CT 06389-1010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1164040911
Stephanie Katherine Thibodeau's National Provider Identifier is 1164040911, issued on Jul 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Yantic, CT. The record was last updated on Jul 8, 2020.