Individual provider · Type 1 NPI

Lissette Larue, LPC

Professional Counselor · Gales Ferry, CT

NPI number 1629314620 Active

Practice location

1649 Route 12, Suite 4
Gales Ferry, CT 06335-1545

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2321 (CT)

Professional Counselor: Definition to come...

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About NPI 1629314620

Lissette Larue, LPC's National Provider Identifier is 1629314620, issued on Dec 19, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gales Ferry, CT. The record was last updated on Apr 18, 2016.