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General NPI Number Information
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NPI Number | 1821985102
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Entity Type | Individual
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Provider Name | ALLISON MARIE MICHAUD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 300 CHURCH ST STE 105
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City | YALESVILLE
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State | CT
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Zip | 06492-2253
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Country | US
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Telephone | 203-679-0849
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Fax |
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Provider Business Mailing Address
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Address Line | 25 CHERRY RIDGE RD
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City | MIDDLEFIELD
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State | CT
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Zip | 06455-1261
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Country | US
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Telephone | 860-682-0596
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | CT
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