Organization · Type 2 NPI
Ruth Etchells Siborg LPC LLC
Professional Counselor · Colchester, CT
NPI number
1629536768
Active
Practice location
100 Linwood Ave
Colchester, CT 06415-1138
Mailing address
36 Hi Lea Farm Rd
Colchester, CT 06415-1779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1629536768
Ruth Etchells Siborg LPC LLC's National Provider Identifier is 1629536768, issued on Mar 7, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Colchester, CT. The record was last updated on Mar 7, 2019.