Individual
RACHEL LICAMELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
415 MAIN ST, RIDGEFIELD, CT 06877-4500
(203) 768-9477
Mailing address
415 MAIN ST, RIDGEFIELD, CT 06877-4500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6780
CT
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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