Provider Demographics
NPI:1699205427
Name:DAVIS, CLAIRLYN ELIZABETH (LPC)
Entity Type:Individual
Prefix:MS
First Name:CLAIRLYN
Middle Name:ELIZABETH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06413-2294
Mailing Address - Country:US
Mailing Address - Phone:203-493-1558
Mailing Address - Fax:203-643-2049
Practice Address - Street 1:252 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-2294
Practice Address - Country:US
Practice Address - Phone:203-493-1558
Practice Address - Fax:203-643-2049
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health