MEDICARE: MR. MICHAEL J ALGER M.S., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	002531	CT

General Provider Information

NPI Number	:	1740550987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL J ALGER M.S., LPC

Provider Business Mailing Address
First Line	:	154 HEMPSTEAD ST
Second Line	:
City	:	NEW LONDON
State	:	CT
Zip	:	06320-5638
Country	:	US
Telephone Number	:	860-444-8774
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 MAIN ST # 11-211J
Second Line	:
City	:	MYSTIC
State	:	CT
Zip	:	06355-3654
Country	:	US
Telephone Number	:	860-235-0168
Fax Number	:	860-444-8775

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2012
Last Update Date	:	02/22/2022

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