Provider Demographics
NPI:1386992477
Name:TOMASKO, HELEN F (LPC)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:F
Last Name:TOMASKO
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:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-0164
Mailing Address - Country:US
Mailing Address - Phone:203-740-7296
Mailing Address - Fax:203-740-7696
Practice Address - Street 1:33 JUNCTION RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-3457
Practice Address - Country:US
Practice Address - Phone:203-740-7296
Practice Address - Fax:203-740-7696
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional