Individual
MRS. MIRANDA LINDSAY LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26 NORTH ST, ROXBURY, CT 06783-9992
(203) 885-4618
Mailing address
4 HORSESHOE DR, BROOKFIELD, CT 06804-1926
(203) 885-4618
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7293
CT
Other
Enumeration date
02/22/2024
Last updated
05/07/2024
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