Most Relevant Information
Provider Data
| NPI Number: | 1003664962 |
| Provider Name: | RICHEILA LORA BA, BS |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2024 |
| Last Updated: | 05/07/2024 |
Provider Practice Location
591 POQUONNOCK RD
GROTON
CT
063404571
Practice Location Phone/Fax
| Phone: | 8604374550 |
| Fax: | 8606614262 |
Provider Mailing Location
PO BOX 120
NEW LONDON
CT
063200120
Provider Mailing Phone/Fax
| Phone: | 8604374550 |
| Fax: | 8606614262 |