Provider Demographics
NPI:1104277615
Name:ROSARIO, CLARIBEL (LPC)
Entity type:Individual
Prefix:
First Name:CLARIBEL
Middle Name:
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-2317
Mailing Address - Country:US
Mailing Address - Phone:860-993-0289
Mailing Address - Fax:
Practice Address - Street 1:185 SILAS DEANE HWY STE 3
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-1219
Practice Address - Country:US
Practice Address - Phone:860-993-0289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CT003207101YP2500X
CT3207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor