Organization · Type 2 NPI
Lila Sussman Therapy, LLC
Professional Counselor · Southport, CT
NPI number
1457010779
Active
Practice location
717 Bronson Rd
Southport, CT 06890-1276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1457010779
Lila Sussman Therapy, LLC's National Provider Identifier is 1457010779, issued on Dec 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southport, CT. The record was last updated on Dec 14, 2021.