Larissa Sue Cabral
Individual provider Active NPI Marriage & Family Therapist · Windsor, CT
NPI 1063757409 · NPPES record last updated Dec 11, 2012
Key facts
- NPI
- 1063757409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 001421 (CT)
- Practice address
- 41 Mechanic St
Windsor, CT 06095-2545 - Phone
- (860) 246-7999
- Fax
- (860) 688-0004
- NPI assigned
- Dec 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001421 | CT | MD | Registered Respiratory Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001421 | CT | Yes |
Addresses
Primary practice location
41 Mechanic St
Windsor, CT 06095-2545
Mailing address
30 Maple Ave
Windsor, CT 06095-2922
Phone (860) 246-7999
Other providers in Windsor, CT
- Dexter Burke
- Elizabeth F Burke
- Lynn C Atherine Burke
- Khadijah Bygrave
- C&M Home Care of CT LLC
- Deborah Cadman
- Amanda Calderoni
- Paulette D. Caldwell
- Cassandra Caliciotti
- Patrickbon Cambel
All providers in Windsor, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.