Individual
MRS. ALYSSA JEANNETTE AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 BLAKESLEE RD, WALLINGFORD, CT 06492-5212
(203) 868-1853
Mailing address
17 BLAKESLEE RD, WALLINGFORD, CT 06492-5212
(203) 868-1853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11167
CT
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
11167
CT
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/16/2018
Last updated
08/31/2022
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