Provider Demographics
NPI:1184088700
Name:ZOPPI, CAROLYN E (LPC)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:E
Last Name:ZOPPI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 JOHN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SOUTHPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06890-1484
Mailing Address - Country:US
Mailing Address - Phone:203-581-0107
Mailing Address - Fax:203-255-7486
Practice Address - Street 1:49 JOHN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SOUTHPORT
Practice Address - State:CT
Practice Address - Zip Code:06890-1484
Practice Address - Country:US
Practice Address - Phone:203-581-0107
Practice Address - Fax:203-255-7486
Is Sole Proprietor?:No
Enumeration Date:2016-04-09
Last Update Date:2016-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002897101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional