Individual provider · Type 1 NPI
Carin Cruise-Roos, LPC
Professional Counselor · Avon, CT
NPI number
1780833822
Active
Practice location
27 Wyngate Dr
Avon, CT 06001-4112
Mailing address
720 Hopmeadow St, 4
Simsbury, CT 06070-2224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000409 (CT) |
Professional Counselor: Definition to come...
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About NPI 1780833822
Carin Cruise-Roos, LPC's National Provider Identifier is 1780833822, issued on Sep 12, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Avon, CT. The record was last updated on Sep 12, 2008.