Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allyson Leigh Licese

Individual provider Mental Health Counselor · NPI 1033686514

Allyson Leigh Licese is a Mental Health Counselor in Middletown, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

28 Russett Ln
Middletown, CT 06457-5803
Phone: (203) 206-3538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 4557 (CT)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1033686514
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2018
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing address21 Meeker Rd, Southington, CT 06489-2234

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