Provider Demographics
NPI:1740550987
Name:ALGER, MICHAEL J (MS, LPC)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:ALGER
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 HEMPSTEAD ST
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-5638
Mailing Address - Country:US
Mailing Address - Phone:860-444-8774
Mailing Address - Fax:
Practice Address - Street 1:11 MAIN ST # 11-211J
Practice Address - Street 2:
Practice Address - City:MYSTIC
Practice Address - State:CT
Practice Address - Zip Code:06355-3654
Practice Address - Country:US
Practice Address - Phone:860-235-0168
Practice Address - Fax:860-444-8775
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional