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Ms. Lisa Michelle Slade, LPC
Professional Counselor in Bridgeport, Connecticut
NPI 1518103399

Lisa Michelle Slade is a Professional Counselor based in Bridgeport, CT and is specialized in Professional. Lisa Michelle Slade practices in Bridgeport, CT and has the professional credentials of LPC. The NPI Number for Lisa Michelle Slade is 1518103399 and holds a License No. 0001781 (Connecticut).

The current practice location address for Lisa Michelle Slade is 1115 Main St Ste 702, Bridgeport, CT and can be reached out via phone at 203-334-5500.

Location: 1115 Main St Ste 702, Bridgeport, CT, 06607-2016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518103399
Provider Name
Lisa Michelle Slade
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1115 Main St Ste 702, Bridgeport, CT, 06607-2016
Phone Number
203-334-5500
Fax Number
Provider Enumeration Date
12/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1115 Main St Ste 702
City
Bridgeport
State
Connecticut
Zip
06604-4406
Phone Number
203-334-5500
Fax Number
person
Provider Business Mailing Address Details
Address
1115 Main St Ste 702
City
Bridgeport
State
Connecticut
Zip
06604-4406
Phone Number
203-334-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0001781 (Connecticut)
Definition
Definition to come...
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