Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | LPC 000923 | CT |
N | 101YS0200X | School Counselor | CT |
NPI | 1083623227 |
---|---|
Provider Name | Mrs. Nancy J. Tolmoff |
First Address | Brookfield, CT 06804-3517 |
Second Address | Brookfield, CT 06804-3517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 26/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000491 | LMFT LICENSE # (01) | CT |
000923 | LIC PROFESSIONALCOUNSELOR (01) | CT |
071944 | VALUEOPTIONS ID # (01) | CT |
11244919 | CAQH ID # (01) | CT |
410000491CT01 | BCBS ID # (01) | CT |
NT3074565 | APERTURE # (01) | CT |