Individual
MS. MYRIAM MILFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
155 LOCKWOOD AVENUE, STAMFORD, CT 06902
(203) 399-4096
(203) 781-4624
Mailing address
155 LOCKWOOD AVENUE, STAMFORD, CT 06902
(203) 399-4096
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
46.004567
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004082260
—
CT
05
—
008001325
—
CT
05
—
008022622
—
CT
05
—
008097533
—
CT
Enumeration date
08/18/2020
Last updated
10/27/2023
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