| Holly Benedetto, Lpc | |
|
755 Main St Monroe CT 06468-2830 | |
| (203) 868-1467 | |
| Not Available |
| Full Name | Holly Benedetto, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 755 Main St, Monroe, Connecticut |
| Authorized Official Name and Position | Holly Benedetto (OWNER) |
| Authorized Official Contact | 2038681467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Benedetto, Lpc 40 London Ter Stratford CT 06614-3804 Ph: (203) 868-1467 | Holly Benedetto, Lpc 755 Main St Monroe CT 06468-2830 Ph: (203) 868-1467 |
| NPI Number | 1306354188 |
|---|---|
| Provider Enumeration Date | 01/16/2018 |
| Last Update Date | 01/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306354188 | NPI | - | NPPES |
| 004069985 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 003041 (Connecticut) | Primary |
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