Individual
ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
179 POST RD W, WESTPORT, CT 06880-4602
(203) 450-4882
Mailing address
9 HAMILTON CT APT D, STAMFORD, CT 06902-3579
(203) 362-8657
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4884
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4219
DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
04/10/2021
Last updated
02/22/2022
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