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NPI Code Detail

MEDICARE: MRS. ROZALYN DAVILA LPC

MEDICARE: MRS. ROZALYN DAVILA 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
1101YP2500XProfessional Counselor003730CT

General Provider Information

NPI Number : 1992470264
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROZALYN DAVILA LPC
Provider Business Mailing Address
First Line : 16 WESTON ST
Second Line :
City : HARTFORD
State : CT
Zip : 06120-1504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16 WESTON ST
Second Line :
City : HARTFORD
State : CT
Zip : 06120-1504
Country : US
Telephone Number : 860-527-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2021
Last Update Date : 08/11/2021

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Directions to “ MRS. ROZALYN DAVILA LPC” Practice Location

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