Individual
MARCY TALICEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC, LPC
Contact information
Practice address
25 HIGH ST, ENFIELD, CT 06082
(860) 698-6077
(860) 698-6631
Mailing address
25 HIGH ST, ENFIELD, CT 06082-3410
(860) 698-6077
(860) 698-6631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8146
MA
101YP2500X
Professional Counselor
Primary
2378
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008045179
—
CT
Enumeration date
03/30/2011
Last updated
09/05/2018
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