Individual
CHELSEA ROSE DICICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
29 FAIRLAWN AVE, MIDDLETOWN, CT 06457-5315
(860) 810-6633
Mailing address
29 FAIRLAWN AVE, MIDDLETOWN, CT 06457-5315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003141
CT
Other
Enumeration date
12/21/2017
Last updated
01/17/2018
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