Individual
DEBRA S MACHT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2003
(860) 646-1222
(860) 647-6829
Mailing address
141 GREAT POND RD, S GLASTONBURY, CT 06073-3105
(860) 659-2930
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000173
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000173
LICENSED PRO COUNSELOR
CT
Enumeration date
04/19/2006
Last updated
07/08/2007
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