Individual
MITCHELLE LEONIE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
384 PRATT ST, MERIDEN, CT 06450-8627
(203) 235-5767
Mailing address
384 PRATT ST, MERIDEN, CT 06450-8627
(203) 235-5767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6393
CT
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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