MEDICARE: CORINNE E OFGANG 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
1	101YP2500X	Professional Counselor	3437	CT

General Provider Information

NPI Number	:	1700372042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORINNE E OFGANG LPC

Provider Business Mailing Address
First Line	:	216 PINE HILL RD
Second Line	:
City	:	NEW FAIRFIELD
State	:	CT
Zip	:	06812-2209
Country	:	US
Telephone Number	:	203-770-2065
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 NORTH ST STE 323
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-5628
Country	:	US
Telephone Number	:	203-770-2065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	07/10/2018

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Directions to “ CORINNE E OFGANG LPC” Practice Location

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