Debra J Antari, MS LPC

Individual provider Active NPI Mental Health Counselor · Meriden, CT

NPI 1922033166 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1922033166
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
000611 (CT)
Practice address
1 Research Parkway
Meriden, CT 06450
Phone
(860) 714-2750
Fax
(860) 714-8591
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000611CTMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000611 CT Yes

Addresses

Primary practice location

1 Research Parkway
Meriden, CT 06450

Mailing address

675 Tower Avenue
Suite 301
Hartford, CT 06112
Phone (860) 714-2750

Other providers in Meriden, CT

All providers in Meriden, CT · Mental Health Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.