Individual provider · Type 1 NPI
Marissa R. Gagliardo, LPC
Professional Counselor · New Haven, CT
NPI number
1871909945
Active
Practice location
232 Cedar Street, South Central Rehabilitation Center
New Haven, CT 06519-1610
Fax (203) 401-3352
Mailing address
PO Box 7720, Credentialing Specialist
New Haven, CT 06519-0720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3151 (CT) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1871909945
Marissa R. Gagliardo, LPC's National Provider Identifier is 1871909945, issued on Jul 9, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Haven, CT. The record was last updated on Feb 1, 2018.