Individual
KHARISHA MAE LAROCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 EAST AVE, NORWALK, CT 06851-5738
(475) 666-0745
Mailing address
637 COVE RD UNIT A5, STAMFORD, CT 06902-5401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CT
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
CT
101YS0200X
School Counselor
—
CT
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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