Diana Anderson, LPC
Counselor, Professional in New Haven, CT. Individual provider (NPI-1).
NPI number1124380514
StatusActive
Last updated in NPPESJul 27, 2018
Details
- NPI
- 1124380514
- Entity type
- Individual (NPI-1)
- Name
- Diana Anderson
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2012
- Last updated
- Jul 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 3457 | CT | Yes |
| 101YM0800X | Counselor, Mental Health | 3457 | CT |
Practice location
495 Congress AveNew Haven, CT 06519
Phone 032-285-2678 · Fax 203-781-4654
Mailing address
1 Long Wharf DrNew Haven, CT 06511-5991
Phone 203-781-4600 · Fax 203-781-4624
Other practice locations
458 Grand Ave
New Haven, CT 06513-3856
New Haven, CT 06513-3856
Phone 203-752-1212
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