Doctor Name: | MS. ALICIA MEGAN ALFSON |
NPI Number: | 1124213434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, LPC |
License Number: | |
Business Practice Address: | 1177 Silas Deane Hwy Wethersfield, CT - 061094348 |
Business Phone Number: | 8604165370 |
Business Fax Number: | |
Mailing Address: | 1177 Silas Deane Hwy, WETHERSFIELD |
State: | CT |
Postal Code: | 061094348 |
Phone Number: | 8604165370 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |