Individual
MR. MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1 MAIN ST, HARTFORD, CT 06106
(860) 727-8703
(860) 548-2045
Mailing address
1 MAIN STREET, HARTFORD, CT 06106
(860) 727-8703
(860) 548-2045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002295
CT
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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