Provider Demographics
NPI:1720607146
Name:BARRETT, VERONICA MARIELA (NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:MARIELA
Last Name:BARRETT
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:MARIELA
Other - Last Name:ALICEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCC
Mailing Address - Street 1:87 CANOE BROOK RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-2101
Mailing Address - Country:US
Mailing Address - Phone:203-449-0308
Mailing Address - Fax:
Practice Address - Street 1:109 DANBURY RD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4142
Practice Address - Country:US
Practice Address - Phone:153-872-5460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT46-005235101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional