Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
Y | 101YM0800X | Mental Health Counselor | ||
N | 101YP2500X | Professional Counselor | ||
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
NPI | 1083054829 |
---|---|
Provider Name | Mrs. Laura Ann Hilton |
First Address | Ashford, CT 06278-1608 |
Second Address | Springfield, MA 01103-1348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2013 |
Last Update Date | 25/06/2013 |