Provider Demographics
NPI:1497723233
Name:NAVARRETTA, NANCY (MA,LPC,NCC)
Entity Type:Individual
Prefix:PROF
First Name:NANCY
Middle Name:
Last Name:NAVARRETTA
Suffix:
Gender:F
Credentials:MA,LPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 HOGAN RD
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-1927
Mailing Address - Country:US
Mailing Address - Phone:203-248-6692
Mailing Address - Fax:
Practice Address - Street 1:3208 WHITNEY AVE
Practice Address - Street 2:STE.1D
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2158
Practice Address - Country:US
Practice Address - Phone:203-248-6692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000026101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional