person
Elaine C Melillo, LPC
Professional Counselor in Middletown, Connecticut
NPI 1508090507

Elaine C Melillo is a Professional Counselor based in Middletown, CT and is specialized in Professional. Elaine C Melillo practices in Middletown, CT and has the professional credentials of LPC. The NPI Number for Elaine C Melillo is 1508090507 and holds a License No. 001324 (Connecticut).

The current practice location address for Elaine C Melillo is 51 Broad St, Middletown, CT and can be reached out via phone at 860-358-3410 and via fax at 860-358-3404. You can also correspond with Elaine C Melillo through the mailing address at 28 CRESCENT ST, MIDDLETOWN, CT - 06457-3654 (mailing address contact number: 860-358-3410).

Location: 51 Broad St, Middletown, CT, 06457-3654
person
Provider Profile Details
NPI Number
1508090507
Provider Name
Elaine C Melillo
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
51 Broad St, Middletown, CT, 06457-3654
Phone Number
860-358-3410
Fax Number
860-358-3404
Provider Enumeration Date
05/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001324 01 CT CT LICENSE
institution
Provider Business Practice Location Address Details
Address
51 Broad St
City
State
Zip
06457-3204
Phone Number
860-358-3410
Fax Number
860-358-3404
person
Provider Business Mailing Address Details
Address
51 Broad St
City
State
Zip
06457-3204
Phone Number
860-358-3410
Fax Number
860-358-3404
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001324 (Connecticut)
Definition
Definition to come...
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