Doctor Name: | DENISE M SOUCIE |
NPI Number: | 1053551382 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 000791 |
Business Practice Address: | 17 S Highland St West Hartford, CT - 061191826 |
Business Phone Number: | 8606516728 |
Business Fax Number: | |
Mailing Address: | 26 Chestnut Hill Rd, WEST SIMSBURY |
State: | CT |
Postal Code: | 060922603 |
Phone Number: | 8606516728 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2009 |
NPI Last Update Date: | 02/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 000791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |