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Individual
MICHAEL CONNELL
Active
Individual
MICHAEL CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
46.003756
CT
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
261QP2300X
Primary Care Clinic/Center
3756
CT
Other
Enumeration date
10/27/2014
Last updated
04/01/2022
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