Provider Demographics
NPI:1114557998
Name:MOKLER, EMILY ANN (MFT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:MOKLER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:ANN
Other - Last Name:MOKLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:8 W MAIN ST STE 3-15
Mailing Address - Street 2:
Mailing Address - City:NIANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06357-2332
Mailing Address - Country:US
Mailing Address - Phone:860-451-9364
Mailing Address - Fax:
Practice Address - Street 1:8 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NIANTIC
Practice Address - State:CT
Practice Address - Zip Code:06357-2303
Practice Address - Country:US
Practice Address - Phone:978-810-2476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2345106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist