Individual
HOLLY DALE MENSCHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 CHERRY ST, NEW CANAAN, CT 06840-5525
(203) 536-4642
Mailing address
914 VALLEY RD, NEW CANAAN, CT 06840-2813
(203) 536-4642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002551
CT
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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