Individual provider · Type 1 NPI

Ladylanis Del Carmen Grullon Cepeda, LPC

Professional Counselor · Manchester, CT

NPI number 1407580129 Active

Practice location

317 N Main St
Manchester, CT 06042-2007

Mailing address

33 Godar Ter
East Hartford, CT 06118-1926

Other practice locations

  • 752 Westchester Rd, Unit A, Colchester, CT 06415 · (860) 531-2180

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X7064 (CT)
Professional Counselor Primary 101YP2500X5649 (CT)

Professional Counselor: Definition to come...

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About NPI 1407580129

Ladylanis Del Carmen Grullon Cepeda, LPC's National Provider Identifier is 1407580129, issued on Jul 11, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manchester, CT. The record was last updated on Feb 12, 2024.