Organization
EVOLVE COUNSELING & CONSULTATIONLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA GILMORE LPC (OWNER)
(413) 210-7728
Entity
Organization
Contact information
Practice address
65 S COLONY ST, WALLINGFORD, CT 06492-4150
(413) 210-7728
Mailing address
339 HIGHLAND AVE, WALLINGFORD, CT 06492-5605
(413) 210-7728
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002512
CT
Other
Enumeration date
12/11/2017
Last updated
03/17/2018
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