Stephanie Katherine Thibodeau
Counselor, Mental Health in Yantic, CT. Individual provider (NPI-1).
NPI number1164040911
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1164040911
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Katherine Thibodeau
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2020
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
63 Sunnyside StYantic, CT 06389-1010
Phone 860-984-3579
Mailing address
63 Sunnyside StYantic, CT 06389-1010
Phone 860-984-3579
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.