Individual
MR. MICHAEL J. PISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., L.M.F.T.
Contact information
Practice address
55 WALLS DRIVE, STE 206, FAIRFIELD, CT 06824-5163
(203) 689-8989
Mailing address
55 WALLS DRIVE, STE 206, FAIRFIELD, CT 06824-5163
(203) 689-8989
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001481
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001481
LICENSED MARITAL AND FAMILY THERAPIST (L.M.F.T.)
CT
Enumeration date
02/27/2013
Last updated
11/10/2022
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