Individual provider · Type 1 NPI

Carissa M. Mott, LPC

Professional Counselor · Bridgeport, CT

NPI number 1285061374 Active

Practice location

475 Clinton Ave
Bridgeport, CT 06605-1700

Fax (203) 368-9167

Mailing address

475 Clinton Aevnue
Bridgeport, CT 06605

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X002263 (CT)

Professional Counselor: Definition to come...

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About NPI 1285061374

Carissa M. Mott, LPC's National Provider Identifier is 1285061374, issued on Oct 3, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgeport, CT. The record was last updated on Oct 3, 2013.