Individual
MEAGEN ELIZABETH YACOBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
680 S MAIN ST # LL2, CHESHIRE, CT 06410-3181
(877) 577-3233
Mailing address
680 S MAIN ST STE LL2, CHESHIRE, CT 06410-3181
(877) 577-3233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1001
CT
101YP2500X
Professional Counselor
Primary
002612
CT
Other
Enumeration date
08/27/2012
Last updated
11/09/2023
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