Provider Demographics
NPI:1619114410
Name:DOBIE, PATRICIA BLECICH (LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:BLECICH
Last Name:DOBIE
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 1:321 ELLIS STREET, STE 3
Mailing Address - Street 2:TODAY'S YOUTH, LLC
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051
Mailing Address - Country:US
Mailing Address - Phone:860-740-6108
Mailing Address - Fax:860-740-6510
Practice Address - Street 1:321 ELLIS STREET, STE 3
Practice Address - Street 2:TODAY'S YOUTH, LLC
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051
Practice Address - Country:US
Practice Address - Phone:860-740-6108
Practice Address - Fax:860-740-6510
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001267101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional