Provider Demographics
NPI:1609331792
Name:MUSACCHIO, KATYA (LPC)
Entity Type:Individual
Prefix:
First Name:KATYA
Middle Name:
Last Name:MUSACCHIO
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 1:132 NORTONTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2224
Mailing Address - Country:US
Mailing Address - Phone:646-241-5507
Mailing Address - Fax:
Practice Address - Street 1:132 NORTONTOWN RD
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2224
Practice Address - Country:US
Practice Address - Phone:646-241-5507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-04
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6864101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional