Individual provider · Type 1 NPI
Elizabeth Rose Damon, LPC, R-DMT
Professional Counselor · Stratford, CT
NPI number
1083016703
Active
Practice location
4021 Main St, 1F
Stratford, CT 06614-3568
Mailing address
156 Grasmere Ave, Apt 1
Fairfield, CT 06824-6153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 002611 (CT) |
Professional Counselor: Definition to come...
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About NPI 1083016703
Elizabeth Rose Damon, LPC, R-DMT's National Provider Identifier is 1083016703, issued on Sep 24, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stratford, CT. The record was last updated on Sep 24, 2014.