Individual
MRS. MICHELE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
255 BANK ST FL 4, WATERBURY, CT 06702-2219
(203) 596-9724
Mailing address
233 MAIN ST, NEW BRITAIN, CT 06051-4204
(860) 384-4356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001609
CT
104100000X
Social Worker
001609
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104100000Y
TAXONOMY CODE
CT
Enumeration date
09/04/2007
Last updated
08/25/2021
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