Individual provider · Type 1 NPI
Judith Mangan Charles, LPC
Counselor · Woodbury, CT
NPI number
1508035528
Active
Practice location
44 Westside Rd
Woodbury, CT 06798-2703
Fax (203) 263-7612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 000018 (CT) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1508035528
Judith Mangan Charles, LPC's National Provider Identifier is 1508035528, issued on Feb 24, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Woodbury, CT. The record was last updated on Feb 24, 2008.