Individual
REBECCA COLELLA DEMAIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1089B WOODTICK RD, WOLCOTT, CT 06716-2123
(203) 879-9485
Mailing address
67 NORTH ST, WOLCOTT, CT 06716-1317
(203) 508-5353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6906
CT
Other
Enumeration date
11/01/2023
Last updated
12/05/2023
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