Individual
LYDIA MELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
489 POST RD E, WESTPORT, CT 06880-4435
(203) 493-1151
Mailing address
417 SILVERMINE RD, NEW CANAAN, CT 06840-4319
(203) 803-0038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6256
CT
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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