Individual
SUSANA CEZARIO MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4699 MAIN ST STE 210, BRIDGEPORT, CT 06606-1830
(203) 208-3940
Mailing address
104 FOXWOOD CLOSE UNIT 104, MILFORD, CT 06461-2732
(203) 550-1611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007931
CT
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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