Individual
NELL MCGLOIN-KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
64 N LAKE DR APT E1, HAMDEN, CT 06517-2420
(203) 589-1513
Mailing address
64 N LAKE DR APT E1, HAMDEN, CT 06517-2420
(203) 589-1513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001013
CT
101YP2500X
Professional Counselor
Primary
002251
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001013
LADC LICENSE
CT
01
—
002251
LPC LICENSE
CT
Enumeration date
05/02/2013
Last updated
11/01/2022
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