Individual
MS. CHELSEY MICCICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 PRATT ST, GLASTONBURY, CT 06033-1014
(860) 946-0447
(860) 430-6861
Mailing address
34 MURRAY STREET, WATERBURY, CT 06710
(203) 756-8317
(203) 756-8310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5020
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
10/13/2014
Last updated
06/10/2022
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