MEDICARE: ANNE SANSOLO 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	001805	CT

General Provider Information

NPI Number	:	1962636456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE SANSOLO LPC

Provider Business Mailing Address
First Line	:	420 HIGHLAND AVE STE B1
Second Line	:
City	:	CHESHIRE
State	:	CT
Zip	:	06410-2527
Country	:	US
Telephone Number	:	860-216-8834
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 HIGHLAND AVE STE B1
Second Line	:
City	:	CHESHIRE
State	:	CT
Zip	:	06410-2527
Country	:	US
Telephone Number	:	203-931-5566
Fax Number	:

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

Provider Enumeration Date	:	05/12/2009
Last Update Date	:	02/21/2024

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Directions to “ ANNE SANSOLO LPC” Practice Location

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