Individual provider · Type 1 NPI
Suzanne Derosa, LPC
Professional Counselor · Woodbury, CT
NPI number
1194031849
Active
Practice location
43 Sherman Hill Rd Ste 103
Woodbury, CT 06798-3651
Mailing address
42 Arvida Rd
Wolcott, CT 06716-2766
Other practice locations
- 965 S Main St, Waterbury, CT 06706-1434 · (203) 596-9724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001350 (CT) |
Professional Counselor: Definition to come...
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About NPI 1194031849
Suzanne Derosa, LPC's National Provider Identifier is 1194031849, issued on Aug 19, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodbury, CT. The record was last updated on Mar 17, 2018.