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Ms. Mallory Rose Devona, MS,NCC,LPC
Counselor in Waterford, Connecticut
NPI 1861876211

Mallory Rose Devona is a Counselor based in Waterford, CT. Mallory Rose Devona practices in Waterford, CT and has the professional credentials of MS,NCC,LPC. The NPI Number for Mallory Rose Devona is 1861876211 and holds a License No. 2789 (Connecticut).

The current practice location address for Mallory Rose Devona is 2 Leary Dr, Waterford, CT and can be reached out via phone at 860-857-4769.

Location: 2 Leary Dr, Waterford, CT, 06385-3707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861876211
Provider Name
Mallory Rose Devona
Credential
MS,NCC,LPC
Provider Entity Type
Individual
Gender
Female
Address
2 Leary Dr, Waterford, CT, 06385-3707
Phone Number
860-857-4769
Fax Number
Provider Enumeration Date
07/15/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008060321 05 CT
institution
Provider Business Practice Location Address Details
Address
2 Leary Dr
City
Waterford
State
Connecticut
Zip
06385
Phone Number
860-857-4769
Fax Number
person
Provider Business Mailing Address Details
Address
2 Leary Dr
City
Waterford
State
Connecticut
Zip
06385
Phone Number
860-857-4769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2789 (Connecticut)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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