Moulton, Patrice Anthia

Moulton, Patrice Anthia is an sole proprietor health care provider with primary practice located at 3 Northwestern Dr , Bloomfield CT 06002-3465. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moulton, Patrice Anthia can be contacted via phone (860) 243-3477.

Contact Information

Primary practice address
3 Northwestern Dr Bloomfield CT 06002-3465
Phone: (860) 243-3477
Fax: (860) 243-3224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 3824 Connecticut

Profile Details

NPI number 1003359761
LBN Legal business name Moulton, Patrice Anthia
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2016
Last updated Dec 12th, 2019 - about 7 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.

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