Individual provider · Type 1 NPI
Leslie Mallimson, LPC
Professional Counselor · Centerbrook, CT
NPI number
1992877922
Active
Practice location
68 Main St
Centerbrook, CT 06409
Fax (860) 767-5067
Mailing address
PO Box 182, 68 Main St
Centerbrook, CT 06409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CT000274CT (CT) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Centerbrook
About NPI 1992877922
Leslie Mallimson, LPC's National Provider Identifier is 1992877922, issued on Nov 14, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Centerbrook, CT. The record was last updated on Jul 8, 2007.