MS. MARLA S. SLACK LPC
NPI 1932308061
Counselor - Professional in Yalesville, CT
Active since July 18, 2007
About Ms. Marla S. Slack Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARLA S. SLACK LPC (NPI 1932308061) is an individual professional provider in Yalesville, Connecticut, licensed in Connecticut (001271) and active in the NPI registry since July 2007.
NPPES Registry Identity
NPI1932308061
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. MARLA S. SLACKCredential: LPC
Location Address300 CHURCH STYalesville, CT 06492-2253
Mailing Address300 Church StYalesville, CT 06492-2253 · (860) 416-1464
Phone(860) 416-1464
Sole ProprietorNo
Enumeration DateJuly 18, 2007
Last NPPES UpdateJune 7, 2013
✔ NPI 1932308061 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 001271
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 001271 (CT)
300 CHURCH ST, Yalesville, CT 06492
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932308061, enumerated as an "individual" on July 18, 2007.
The provider is located at 300 CHURCH ST YALESVILLE, CT 06492 and the phone number is (860) 416-1464.
Counselor with taxonomy code 101YP2500X and a focus in Professional.