Provider Demographics
NPI:1134360480
Name:PERFETTO, PASQUALE JOSEPH (MS COUNSELING LPC)
Entity type:Individual
Prefix:MR
First Name:PASQUALE
Middle Name:JOSEPH
Last Name:PERFETTO
Suffix:
Gender:M
Credentials:MS COUNSELING LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 FOX RD.
Mailing Address - Street 2:
Mailing Address - City:PUTNAM
Mailing Address - State:CT
Mailing Address - Zip Code:06260
Mailing Address - Country:US
Mailing Address - Phone:860-928-1308
Mailing Address - Fax:
Practice Address - Street 1:155 STORRS ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:MANSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06250
Practice Address - Country:US
Practice Address - Phone:860-456-4442
Practice Address - Fax:860-456-4068
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000489101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional