Individual
HEATHER ALIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 HINMAN ST, CHESHIRE, CT 06410-2546
(203) 250-0305
Mailing address
100 HINMAN ST, CHESHIRE, CT 06410-2546
(203) 250-0305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005957
CT
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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