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JUDITH DISSELL BALCEZAK LPC

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1770723702

Individual Registrant:
 JUDITH DISSELL BALCEZAK LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
132 GROVE ST.  TORRINGTON, CT 06790 US
Tel: 860-482-5558  Fax: --

Contact information for business:
132 GROVE ST.  TORRINGTON, CT 06790 US
Tel: 860-482-5558  Fax: --

Registration Information:
NPI: 1770723702
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101Y00000XBehavioral Health & Social Service Providers
Counselor
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
CT2885

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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