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NPI Code Detail

MEDICARE: REBECCA ZARRELLA LPC

MEDICARE: REBECCA ZARRELLA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2485CT

General Provider Information

NPI Number : 1619322120
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ZARRELLA LPC
Provider Business Mailing Address
First Line : 19 GRAND ST
Second Line :
City : MIDDLETOWN
State : CT
Zip : 06457-2705
Country : US
Telephone Number : 860-347-6971
Fax Number : 860-343-7379
Provider Business Practice Location Address
First Line : 103 W BROAD ST
Second Line :
City : STAMFORD
State : CT
Zip : 06902-3713
Country : US
Telephone Number : 203-324-6127
Fax Number : 203-348-9378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2016
Last Update Date : 05/11/2026

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