Ginicola, Misty M

Ginicola, Misty M is an sole proprietor health care provider with primary practice located at 672 W Main St , West Haven CT 06516-4826. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ginicola, Misty M can be contacted via phone (203) 339-1062.

Contact Information

Primary practice address
672 W Main St West Haven CT 06516-4826
Phone: (203) 339-1062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002631 Connecticut

Profile Details

NPI number 1366989816
LBN Legal business name Ginicola, Misty M
Credentials PH.D., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2017
Last updated Jan 23rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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