Provider Demographics
NPI:1558375246
Name:TOMANELLI, EVANGELINE ELIZABETH (LPC)
Entity Type:Individual
Prefix:MS
First Name:EVANGELINE
Middle Name:ELIZABETH
Last Name:TOMANELLI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:45 COPPER VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1760
Mailing Address - Country:US
Mailing Address - Phone:203-605-4983
Mailing Address - Fax:203-284-3140
Practice Address - Street 1:2435 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3223
Practice Address - Country:US
Practice Address - Phone:203-605-4983
Practice Address - Fax:203-284-3140
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001146101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health