Doctor Name: | ASHLIE M GIONFRIDDO |
NPI Number: | 1942460886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 001384 |
Business Practice Address: | 230b Mountain Rd Suffield, CT - 060782082 |
Business Phone Number: | 4132222795 |
Business Fax Number: | |
Mailing Address: | 230b Mountain Rd, SUFFIELD |
State: | CT |
Postal Code: | 060782082 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/13/2008 |
NPI Last Update Date: | 06/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 001384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |