person
Micah Sw Wolf
Professional Counselor in Danielson, Connecticut
NPI 1295450070

Micah Sw Wolf is a Professional Counselor based in Windsor, CT and is specialized in Professional. Micah Sw Wolf practices in Danielson, CT. The NPI Number for Micah Sw Wolf is 1295450070 and holds a License No. (Connecticut).

The current practice location address for Micah Sw Wolf is 71 Westcott Rd, Danielson, CT and can be reached out via phone at 860-774-7179 and via fax at 860-731-5536.

Location: 71 Westcott Rd, Danielson, CT, 06095-1588
person
Provider Profile Details
NPI Number
1295450070
Provider Name
Micah Sw Wolf
Credential
Provider Entity Type
Individual
Gender
Male
Address
71 Westcott Rd, Danielson, CT, 06095-1588
Phone Number
860-774-7179
Fax Number
860-731-5536
Provider Enumeration Date
10/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
71 Westcott Rd
City
State
Zip
06239-2929
Phone Number
860-774-7179
Fax Number
860-731-5536
person
Provider Business Mailing Address Details
Address
71 Westcott Rd
City
State
Zip
06239-2929
Phone Number
860-774-7179
Fax Number
860-731-5536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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