Individual provider · Type 1 NPI

Susan Derosa

Mental Health Counselor · Plainville, CT

NPI number 1730691924 Active

Practice location

91 Northwest Dr
Plainville, CT 06062-1534

Mailing address

39 Greenfield Rd
Milford, CT 06460-6332

Other practice locations

  • 880 Burbank Ave, Suffield, CT 06078-1459 · (203) 464-5095

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1730691924

Susan Derosa's National Provider Identifier is 1730691924, issued on Oct 29, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plainville, CT. The record was last updated on Mar 17, 2018.