Provider Demographics
NPI:1780040089
Name:ZAMBETTI, CARLEEN (LPC, LADC)
Entity Type:Individual
Prefix:MRS
First Name:CARLEEN
Middle Name:
Last Name:ZAMBETTI
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:WOLCOTT
Mailing Address - State:CT
Mailing Address - Zip Code:06716-1022
Mailing Address - Country:US
Mailing Address - Phone:203-525-6995
Mailing Address - Fax:
Practice Address - Street 1:25 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:WOLCOTT
Practice Address - State:CT
Practice Address - Zip Code:06716-1022
Practice Address - Country:US
Practice Address - Phone:203-525-6995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001128101YA0400X
CT002818101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)