Provider Demographics
NPI:1659857159
Name:VERDINER, JOANNE DELONE (LPC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:DELONE
Last Name:VERDINER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:DELONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 COLUMBUS AVENUE
Mailing Address - Street 2:CREDENTIALING SPECIALIST
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1233
Mailing Address - Country:US
Mailing Address - Phone:203-503-3000
Mailing Address - Fax:203-503-3183
Practice Address - Street 1:400 COLUMBUS AVENUE
Practice Address - Street 2:CFG
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1233
Practice Address - Country:US
Practice Address - Phone:203-503-3055
Practice Address - Fax:203-503-3466
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CT4862101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health