Stephanie M Antonellis, MS
Counselor, Mental Health in New Haven, CT. Individual provider (NPI-1).
NPI number1346714482
StatusActive
Last updated in NPPESJan 11, 2019
Details
- NPI
- 1346714482
- Entity type
- Individual (NPI-1)
- Name
- Stephanie M Antonellis
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2019
- Last updated
- Jan 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
458 Grand AveNew Haven, CT 06513-3856
Phone 203-752-1212
Mailing address
838 Quarter Mile RdOrange, CT 06477-1534
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