Individual
MRS. MELISSA WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
2 OLD NEW MILFORD RD, SUITE #2A, BROOKFIELD, CT 06804-2426
(203) 775-3282
(203) 775-3478
Mailing address
10134 TOWN WALK DR, HAMDEN, CT 06518-3748
(917) 676-0437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002374
CT
101Y00000X
Counselor
005042-1
NY
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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