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Allyson Leigh Licese
Counselor in Middletown, Connecticut
NPI 1033686514

Allyson Leigh Licese is a Counselor based in Southington, CT. Allyson Leigh Licese practices in Middletown, CT. The NPI Number for Allyson Leigh Licese is 1033686514 and holds a License No. (Connecticut).

The current practice location address for Allyson Leigh Licese is 28 Russett Ln, Middletown, CT and can be reached out via phone at 203-206-3538.

Location: 28 Russett Ln, Middletown, CT, 06489-2234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033686514
Provider Name
Allyson Leigh Licese
Credential
Provider Entity Type
Individual
Gender
Female
Address
28 Russett Ln, Middletown, CT, 06489-2234
Phone Number
203-206-3538
Fax Number
Provider Enumeration Date
11/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28 Russett Ln
City
Middletown
State
Connecticut
Zip
06457-5803
Phone Number
203-206-3538
Fax Number
person
Provider Business Mailing Address Details
Address
28 Russett Ln
City
Middletown
State
Connecticut
Zip
06457-5803
Phone Number
203-206-3538
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
4557 (Connecticut)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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