Provider Demographics
NPI:1679794465
Name:ST. GERMAIN, HELEN P (LPC)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:P
Last Name:ST. GERMAIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:KANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-3098
Mailing Address - Country:US
Mailing Address - Phone:860-482-8561
Mailing Address - Fax:860-489-5261
Practice Address - Street 1:100 COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-3098
Practice Address - Country:US
Practice Address - Phone:860-482-8561
Practice Address - Fax:860-489-5261
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4177Medicaid