Individual
MICHELLE MCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15 SUNSET AVE, OLD SAYBROOK, CT 06475-1427
(860) 876-0881
Mailing address
15 SUNSET AVE, OLD SAYBROOK, CT 06475-1427
(860) 876-0881
(203) 401-3352
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002359
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
11/23/2010
Last updated
09/07/2016
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