Michelle Caserta
Marriage & Family Therapist in Southport, CT. Individual provider (NPI-1).
NPI number1043965569
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1043965569
- Entity type
- Individual (NPI-1)
- Name
- Michelle Caserta
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2022
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 002979 | CT | Yes |
Practice location
159 Acorn LnSouthport, CT 06890-1292
Phone 203-314-6047
Mailing address
159 Acorn LnSouthport, CT 06890-1292
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