person
Carissa M Mott, LPC
Professional Counselor in Bridgeport, Connecticut
NPI 1285061374

Carissa M Mott is a Professional Counselor based in Bridgeport, CT and is specialized in Professional. Carissa M Mott practices in Bridgeport, CT and has the professional credentials of LPC. The NPI Number for Carissa M Mott is 1285061374 and holds a License No. 002263 (Connecticut).

The current practice location address for Carissa M Mott is 475 Clinton Ave, Bridgeport, CT and can be reached out via phone at 203-368-4291 and via fax at 203-368-9167.

Location: 475 Clinton Ave, Bridgeport, CT, 06605
person
Provider Profile Details
NPI Number
1285061374
Provider Name
Carissa M Mott
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
475 Clinton Ave, Bridgeport, CT, 06605
Phone Number
203-368-4291
Fax Number
203-368-9167
Provider Enumeration Date
10/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004069985 05 CT
institution
Provider Business Practice Location Address Details
Address
475 Clinton Ave
City
State
Zip
06605-1700
Phone Number
203-368-4291
Fax Number
203-368-9167
person
Provider Business Mailing Address Details
Address
475 Clinton Ave
City
State
Zip
06605-1700
Phone Number
203-368-4291
Fax Number
203-368-9167
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
002263 (Connecticut)
Definition
Definition to come...
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