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Individual

MICAELA MELLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
69 DOUBLEDAY RD, COLUMBIA, CT 06237-1400
(860) 377-1692
Mailing address
69 DOUBLEDAY RD, COLUMBIA, CT 06237-1400
(860) 377-1692

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9329
CT

Other

Enumeration date
01/26/2026
Last updated
01/26/2026
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