Individual
LAURI LIN MISKELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAS, LPC
Contact information
Practice address
1300 POST RD, FAIRFIELD, CT 06824-6038
(203) 339-0649
Mailing address
68 RIVERVIEW CIR, FAIRFIELD, CT 06824-2947
(203) 339-0649
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004204
CT
103TS0200X
School Psychologist
CO7201000549
CT
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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