Provider Demographics
NPI:1295448918
Name:RASCHELLA, JANET ROBERTA (LPC, LADC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ROBERTA
Last Name:RASCHELLA
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 NEWTOWN TPKE
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-1018
Mailing Address - Country:US
Mailing Address - Phone:203-913-2252
Mailing Address - Fax:
Practice Address - Street 1:140 JOHN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06604-4323
Practice Address - Country:US
Practice Address - Phone:203-450-9944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1450101YA0400X
CT004482101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)