Provider Demographics
NPI:1801442447
Name:AARESTRUP, BENEDICTE (LMFT)
Entity type:Individual
Prefix:
First Name:BENEDICTE
Middle Name:
Last Name:AARESTRUP
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 VIEW STREET, 3 FLOOR
Mailing Address - Street 2:NEW HAVEN CT
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:207-590-0945
Mailing Address - Fax:
Practice Address - Street 1:288 FRONT STREET, NEW HAVEN CT
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-0651
Practice Address - Country:US
Practice Address - Phone:475-224-1172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2099106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist