Individual
MICHAEL FAIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
670 MAIN ST S STE B2, WOODBURY, CT 06798-3738
(203) 263-3175
Mailing address
81 HOWARD AVE, ANSONIA, CT 06401-2209
(203) 906-7471
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4620
CT
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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