Provider Demographics
NPI:1871770560
Name:BILLMAN, CARA CATHLEEN (LPC)
Entity type:Individual
Prefix:MRS
First Name:CARA
Middle Name:CATHLEEN
Last Name:BILLMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:CARA
Other - Middle Name:CATHLEEN
Other - Last Name:BILLMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:271 WOODPOND RD.
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410
Mailing Address - Country:US
Mailing Address - Phone:203-271-1161
Mailing Address - Fax:
Practice Address - Street 1:350 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410
Practice Address - Country:US
Practice Address - Phone:203-271-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-25
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001663101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional