Individual provider · Type 1 NPI

Clevetta Laverne Gilliam

Professional Counselor · Middletown, CT

NPI number 1992522809 Active

Practice location

20 Tuttle Pl
Middletown, CT 06457-1870

Fax (860) 793-3369

Mailing address

PO Box 102
West Haven, CT 06516-0102

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

10 other providers at this address

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About NPI 1992522809

Clevetta Laverne Gilliam's National Provider Identifier is 1992522809, issued on Sep 23, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Middletown, CT. The record was last updated on Sep 24, 2024.