Boisselle, Stacey

Boisselle, Stacey is an sole proprietor health care provider with primary practice located at 60 Old Town Rd Unit 107 , Vernon CT 06066-6404. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Boisselle, Stacey can be contacted via phone (860) 214-3113.

Contact Information

Primary practice address
60 Old Town Rd Unit 107 Vernon CT 06066-6404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002583 Connecticut

Profile Details

NPI number 1467824508
LBN Legal business name Boisselle, Stacey
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2015
Last updated Oct 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers