Individual provider · Type 1 NPI
Marissa Kottage
Mental Health Counselor · Madison, CT
NPI number
1659157675
Active
Practice location
136 Twilight Dr
Madison, CT 06443-1629
Other practice locations
- 675 Main St, Middletown, CT 06457-2732 · (860) 347-6971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1659157675
Marissa Kottage's National Provider Identifier is 1659157675, issued on Sep 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, CT. The record was last updated on Sep 5, 2023.