Individual provider · Type 1 NPI

Marisa Angela Sotolongo, LMFT, LADC

Addiction (Substance Use Disorder) Counselor · Mansfield Center, CT

NPI number 1417006164 Active

Practice location

189 Storrs Rd
Mansfield Center, CT 06250-1683

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X001277 (CT)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000812 (CT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1417006164

Marisa Angela Sotolongo, LMFT, LADC's National Provider Identifier is 1417006164, issued on Jan 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield Center, CT. The record was last updated on Oct 21, 2009.