Individual
MRS. EMILY GRACE SHOVELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
85 LAFAYETTE ST, NEW BRITAIN, CT 06051-1803
(860) 759-3396
Mailing address
465 RIDGE RD, MIDDLETOWN, CT 06457-5232
(860) 759-3396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
46003186
CT
Other
Enumeration date
05/22/2017
Last updated
11/12/2019
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