Reva Mingo, LPC, LADC
NPI #1528659570 in Wethersfield, Connecticut
Provider Information
- NPI Number
- 1528659570
- Entity Type
- Individual
- Name
- Reva Mingo, LPC, LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC, LADC
- Enumeration Date
- Feb 2, 2021
- Last Updated
- May 18, 2022
Practice Location
- Address
- 61 ARROW RD STE 103
- City
- Wethersfield
- State
- Connecticut
- ZIP Code
- 06109-1301
- Phone
- (959) 245-4516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Professional — Professional |
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