Individual
LAHAYSHA MIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
136 SHERMAN AVE STE 402, NEW HAVEN, CT 06511-5210
(617) 379-0496
Mailing address
136 SHERMAN AVE STE 402, NEW HAVEN, CT 06511-5210
(617) 379-0496
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
46.005060-ASOC
CT
Other
Enumeration date
12/20/2021
Last updated
04/24/2023
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