Individual provider · Type 1 NPI

Stephanie M. Antonellis, MS

Mental Health Counselor · New Haven, CT

NPI number 1346714482 Active

Practice location

458 Grand Ave
New Haven, CT 06513-3856

Mailing address

838 Quarter Mile Rd
Orange, CT 06477-1534

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346714482

Stephanie M. Antonellis, MS's National Provider Identifier is 1346714482, issued on Jan 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Haven, CT. The record was last updated on Jan 11, 2019.