Individual
MARY-KATHERINE LOUETTA PERALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC, LCPC
Contact information
Practice address
519 BOSTON POST RD, OLD SAYBROOK, CT 06475-1526
(860) 471-7896
Mailing address
519 BOSTON POST RD, OLD SAYBROOK, CT 06475-1526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
01705
RI
101YP2500X
Professional Counselor
03756
KS
101YP2500X
Professional Counselor
Primary
5530
CT
Other
Enumeration date
07/05/2022
Last updated
07/17/2024
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