Individual
MICHELLE ANNE CIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
954 NEWFIELD ST FL 2, MIDDLETOWN, CT 06457-1883
(860) 740-7191
(860) 740-6132
Mailing address
954 NEWFIELD ST FL 2, MIDDLETOWN, CT 06457-1883
(860) 740-7191
(860) 740-6132
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001401
CT
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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