Individual
MELISSA KATHERINE KISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 BROAD ST, MIDDLETOWN, CT 06457-3204
(860) 358-3425
Mailing address
37 CHAMPLIN RD, KILLINGWORTH, CT 06419-1358
(860) 575-4917
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003475
CT
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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