Individual provider · Type 1 NPI
Stacey Boisselle, LPC
Professional Counselor · Vernon, CT
NPI number
1467824508
Active
Practice location
60 Old Town Rd Unit 107
Vernon, CT 06066-6404
Mailing address
60 Old Town Rd. Unit 107
Vernon, CT 06066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 002583 (CT) |
Professional Counselor: Definition to come...
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About NPI 1467824508
Stacey Boisselle, LPC's National Provider Identifier is 1467824508, issued on Oct 28, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Vernon, CT. The record was last updated on Oct 28, 2015.