Peter Jesse Panzarella
Individual provider Active NPI Professional Counselor · North Franklin, CT
NPI 1972198497 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1972198497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 420 (CT)
- Practice address
- 47 Kahn Rd
North Franklin, CT 06254-1619 - Phone
- (860) 861-3630
- NPI assigned
- Mar 5, 2021
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 420 | CT | Yes |
Addresses
Primary practice location
47 Kahn Rd
North Franklin, CT 06254-1619
Mailing address
47 Kahn Rd
North Franklin, CT 06254-1619
Phone (860) 861-3630
Other providers in North Franklin, CT
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- Christian E Miglio
- Victoria Lynn Morrell
- Norwich Orthopedic Group, P.C.
- John Pantuosco II
- Kenneth J Paonessa
- Kristina Parent
- Mohammad Pasha
- Nimit Patel
- Prachi Vijay Patel
All providers in North Franklin, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. 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.