person
Michelle Stallworth, LPC
Mental Health Counselor in New London, Connecticut
NPI 1811123912

Michelle Stallworth is a Mental Health Counselor based in Ledyard, CT and is specialized in Mental Health. Michelle Stallworth practices in New London, CT and has the professional credentials of LPC. The NPI Number for Michelle Stallworth is 1811123912 and holds a License No. 000432 (Connecticut).

The current practice location address for Michelle Stallworth is 365 Montauk Ave, New London, CT and can be reached out via phone at 860-444-5125 and via fax at 860-444-4767.

Location: 365 Montauk Ave, New London, CT, 06339-1946
person
Provider Profile Details
NPI Number
1811123912
Provider Name
Michelle Stallworth
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
365 Montauk Ave, New London, CT, 06339-1946
Phone Number
860-444-5125
Fax Number
860-444-4767
Provider Enumeration Date
06/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811123912 05 CT
institution
Provider Business Practice Location Address Details
Address
365 Montauk Ave
City
State
Zip
06320-4700
Phone Number
860-444-5125
Fax Number
860-444-4767
person
Provider Business Mailing Address Details
Address
365 Montauk Ave
City
State
Zip
06320-4700
Phone Number
860-444-5125
Fax Number
860-444-4767
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
000432 (Connecticut)
Definition
Definition to come...
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