Individual provider · Type 1 NPI

Elise Bosco

Mental Health Counselor · Enfield, CT

NPI number 1821202680 Active

Practice location

47 Palomba Dr
Enfield, CT 06082-3868

Call (860) 253-5020 Map

Fax (860) 253-5030

Mailing address

23 Seymour Rd, Unit 3 A
East Granby, CT 06026-9776

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821202680

Elise Bosco's National Provider Identifier is 1821202680, issued on May 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enfield, CT. The record was last updated on Jul 8, 2007.