Individual
MIKALA MARIE COPPOLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
55 WALLS DR STE 206, FAIRFIELD, CT 06824-5180
(203) 689-8989
Mailing address
35 EDWARD ST, WEST HAVEN, CT 06516-4104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5187
CT
101YP2500X
Professional Counselor
Primary
5741
CT
Other
Enumeration date
09/23/2021
Last updated
07/12/2024
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