Provider Demographics
NPI:1528958568
Name:WHISTON, COLIN M (LPC)
Entity type:Individual
Prefix:
First Name:COLIN
Middle Name:M
Last Name:WHISTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 W STAFFORD RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD SPRINGS
Mailing Address - State:CT
Mailing Address - Zip Code:06076-1059
Mailing Address - Country:US
Mailing Address - Phone:860-818-4352
Mailing Address - Fax:
Practice Address - Street 1:77 KOZEY RD
Practice Address - Street 2:
Practice Address - City:EASTFORD
Practice Address - State:CT
Practice Address - Zip Code:06242-9712
Practice Address - Country:US
Practice Address - Phone:860-933-8587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4836101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional