Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | CT |
NPI | 1003400854 |
---|---|
Provider Name | Haley Mozonski |
First Address | Danbury, CT 06810-6528 |
Second Address | Danbury, CT 06810-6528 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2021 |
Last Update Date | 23/02/2021 |