Most Relevant Information
Provider Data
| NPI Number: | 1003329756 |
| Provider Name: | JOANN ROTAR MS, NCC, LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 001836 |
Most Important Dates
| Enumeration Date: | 11/15/2017 |
| Last Updated: | 11/15/2017 |
Provider Practice Location
869 WHALLEY AVE
NEW HAVEN
CT
065151728
Practice Location Phone/Fax
| Phone: | 2034911652 |
| Fax: |
Provider Mailing Location
54 LAURIE PL
WATERBURY
CT
067046102
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |