Individual
LUZ DELLMISEL VICENTY
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
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095-2700
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7942
CT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/23/2020
Last updated
12/04/2024
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