Individual provider · Type 1 NPI

Lila Sussman

Mental Health Counselor · Waterbury, CT

NPI number 1780095703 Active

Practice location

50 Brookside Rd
Waterbury, CT 06708-1402

Mailing address

91 Northwest Dr
Plainville, CT 06062-1534

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780095703

Lila Sussman's National Provider Identifier is 1780095703, issued on May 13, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterbury, CT. The record was last updated on May 13, 2014.