| Michelle Pellin Ms Ma Lpc Llc | |
|
352 Main St Durham CT 06422-1645 | |
| (860) 805-7819 | |
| Not Available |
| Full Name | Michelle Pellin Ms Ma Lpc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 352 Main St, Durham, Connecticut |
| Authorized Official Name and Position | Michelle Pellin (OWNER) |
| Authorized Official Contact | 8608057819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Pellin Ms Ma Lpc Llc 32 Buttonhook Dr Portland CT 06480-1375 Ph: (860) 805-7819 | Michelle Pellin Ms Ma Lpc Llc 352 Main St Durham CT 06422-1645 Ph: (860) 805-7819 |
| NPI Number | 1598232936 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 10/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598232936 | NPI | - | NPPES |
| 008059952 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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