Individual
MICHELLE LEE LOUCRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 963-6385
Mailing address
5 CARD ST, LEBANON, CT 06249-1011
(860) 266-0241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6519
CT
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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