Individual
CHASSIDIE FAITH LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 BOTSFORD AVE, MILFORD, CT 06460-5804
(203) 450-4745
Mailing address
55 BOTSFORD AVE, MILFORD, CT 06460-5804
(203) 450-4745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
17620
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025096755
CT
Other
Enumeration date
04/21/2020
Last updated
06/10/2026
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