Provider Demographics
NPI:1386049120
Name:SOSTRE, ADRIANNE (LPC)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:
Last Name:SOSTRE
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 1:125 BOSTON POST RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-2841
Mailing Address - Country:US
Mailing Address - Phone:860-917-0790
Mailing Address - Fax:860-371-2624
Practice Address - Street 1:125 BOSTON POST RD
Practice Address - Street 2:SUITE 1
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-2841
Practice Address - Country:US
Practice Address - Phone:860-917-0790
Practice Address - Fax:860-371-2624
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002608101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional