Individual
KATE DECICCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
23 BROOKVIEW TER, MADISON, CT 06443-2065
(860) 513-2850
Mailing address
23 BROOKVIEW TER, MADISON, CT 06443-2065
(203) 444-0511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5508
CT
Other
Enumeration date
06/10/2020
Last updated
10/16/2023
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