MEDICARE: MS. CYNTHIA STEELE-PUCCI 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	101YM0800X	Mental Health Counselor	000464	CT

General Provider Information

NPI Number	:	1871687418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA STEELE-PUCCI LPC

Provider Business Mailing Address
First Line	:	11 EDMOND STREET
Second Line	:
City	:	DARIEN
State	:	CT
Zip	:	06820
Country	:	US
Telephone Number	:	203-327-9143
Fax Number	:

Provider Business Practice Location Address
First Line	:	666 GLENBROOK ROAD SUITE 2B
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06906
Country	:	US
Telephone Number	:	203-325-8791
Fax Number	:	203-325-1221

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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