Individual
MELISSA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
Mailing address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007839
CT
Other
Enumeration date
11/05/2021
Last updated
11/01/2024
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