Provider Demographics
NPI:1356686133
Name:LOVEJOY, CORINNE P (LPC)
Entity Type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:P
Last Name:LOVEJOY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HOLT ST
Mailing Address - Street 2:
Mailing Address - City:TERRYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06786-4626
Mailing Address - Country:US
Mailing Address - Phone:860-690-2548
Mailing Address - Fax:860-585-5327
Practice Address - Street 1:4 HOLT ST
Practice Address - Street 2:
Practice Address - City:TERRYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06786-4626
Practice Address - Country:US
Practice Address - Phone:860-690-2548
Practice Address - Fax:860-585-5327
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002171101YP2500X
CT5517432814101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool