Individual
NICHOLAS MARK IAMELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
5 LINSLEY ST, NORTH HAVEN, CT 06473-2505
(203) 239-5321
(203) 234-3942
Mailing address
22 COWPEN RD, WEST HAVEN, CT 06516-6635
(203) 937-0207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6397
CT
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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