Individual
MELISSA P. DIVITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
11 S MAIN ST, MIDDLETOWN, CT 06457-3656
(860) 704-0300
(860) 343-9144
Mailing address
265 TRI MOUNTAIN RD, DURHAM, CT 06422-2311
(860) 349-3884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000084
CT
101YP2500X
Professional Counselor
000550
CT
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
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