Individual
GRACE HALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRC, LPCC
Contact information
Practice address
144 PROSPECT HILL RD, EAST WINDSOR, CT 06088-9618
(859) 474-0479
Mailing address
11 MARSHALL DR, ENFIELD, CT 06082-3013
(860) 818-2080
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
252371
KY
Other
Enumeration date
08/19/2019
Last updated
09/12/2024
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