Provider Demographics
NPI:1730544206
Name:SIEVEL, MONICA ANN (LPC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ANN
Last Name:SIEVEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:ANN
Other - Last Name:TEMPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:110 HANOVER RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1114
Mailing Address - Country:US
Mailing Address - Phone:203-426-4743
Mailing Address - Fax:
Practice Address - Street 1:110 HANOVER RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1114
Practice Address - Country:US
Practice Address - Phone:203-426-4743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002814101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional