Provider Demographics
NPI:1437762549
Name:PINETTE, MARIE A (LMFT)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:A
Last Name:PINETTE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 E MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-2245
Mailing Address - Country:US
Mailing Address - Phone:475-238-5853
Mailing Address - Fax:
Practice Address - Street 1:246 E MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-2245
Practice Address - Country:US
Practice Address - Phone:475-238-5853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001117106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist