Doctor Name: | MS. CELESTE R. CHARTIER |
NPI Number: | 1356366538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 000372 |
Business Practice Address: | 1007 North Main St. Dayville, CT - 06241 |
Business Phone Number: | 8605646100 |
Business Fax Number: | 8605646110 |
Mailing Address: | 87 Five Mile River Rd, PUTNAM |
State: | CT |
Postal Code: | 062603106 |
Phone Number: | 8609630465 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 000372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |