Organization · Type 2 NPI
Petalu'da Autism Services LLC
Professional Counselor · Vernon, CT
NPI number
1245578475
Active
Practice location
6 Elizabeth Ln
Vernon, CT 06066-5056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 11211741 (CT) |
| Point of Service | 305S00000X | 3928518916 (CT) |
Professional Counselor: Definition to come...
Other professional counselor providers in Vernon
About NPI 1245578475
Petalu'da Autism Services LLC's National Provider Identifier is 1245578475, issued on Jan 23, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Vernon, CT. The record was last updated on Nov 8, 2014.