Provider Demographics
NPI:1639949068
Name:ANELLO, EMILIA (LPC)
Entity Type:Individual
Prefix:
First Name:EMILIA
Middle Name:
Last Name:ANELLO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:844 DANIELS FARM RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-2602
Mailing Address - Country:US
Mailing Address - Phone:203-260-4985
Mailing Address - Fax:203-717-5253
Practice Address - Street 1:49 LOCUST AVE STE 104
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-4764
Practice Address - Country:US
Practice Address - Phone:203-301-8206
Practice Address - Fax:203-717-5253
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT7176101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional