Individual provider · Type 1 NPI
Paula Ellen Sistare, LPC, NCC
Mental Health Counselor · Granby, CT
NPI number
1699827634
Active
Practice location
41 Hartford Ave.
Granby, CT 06035-0206
Fax (860) 653-8077
Mailing address
41HARTFOD Avenue, P. O. Box 206
Granby, CT 06035-0206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 001272 (CT) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Granby
About NPI 1699827634
Paula Ellen Sistare, LPC, NCC's National Provider Identifier is 1699827634, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Granby, CT. The record was last updated on Jul 8, 2007.