Provider Demographics
NPI:1932091238
Name:ESCUDERO, INES MARIA (LPC)
Entity type:Individual
Prefix:
First Name:INES
Middle Name:MARIA
Last Name:ESCUDERO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CARDINAL LN
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4105
Mailing Address - Country:US
Mailing Address - Phone:646-717-4149
Mailing Address - Fax:
Practice Address - Street 1:6 CARDINAL LN
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4105
Practice Address - Country:US
Practice Address - Phone:646-717-4149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8632101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional