| Doctor Name: | MRS. SUZANNE MONTESANO-MCLEAN |
| NPI Number: | 1811191281 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CRC,LP |
| License Number: | 000539 |
| Business Practice Address: | 1 Richmond Ln Willimantic, CT - 062263825 |
| Business Phone Number: | 8604560151 |
| Business Fax Number: | 8603769644 |
| Mailing Address: | 71 Chious Dr, GRISWOLD |
| State: | CT |
| Postal Code: | 063511431 |
| Phone Number: | 8604560151 |
| Fax Number: | 8603766617 |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 000539 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |