Provider Demographics
NPI:1902691124
Name:SALATI, NICOLE ANN (LPC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:ANN
Last Name:SALATI
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 KITTERY ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-5510
Mailing Address - Country:US
Mailing Address - Phone:203-306-9256
Mailing Address - Fax:
Practice Address - Street 1:31 KITTERY ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-5510
Practice Address - Country:US
Practice Address - Phone:203-306-9256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8241101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional