MS. Susan Polese, L.PC., N.C.C.
NPI #1548626617 in Ridgefield, Connecticut
Provider Information
- NPI Number
- 1548626617
- Entity Type
- Individual
- Name
- MS. Susan Polese, L.PC., N.C.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- L.PC., N.C.C.
- Enumeration Date
- Jan 5, 2016
- Last Updated
- Jan 22, 2016
Practice Location
- Address
- 158 DANBURY RD
- Address 2
- SUITE 7
- City
- Ridgefield
- State
- Connecticut
- ZIP Code
- 06877-3227
- Phone
- (203) 278-5116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
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