Individual
EDEN CORRIDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1480 MAPLETON AVE, SUFFIELD, CT 06078-1343
(860) 214-7997
Mailing address
1480 MAPLETON AVE, SUFFIELD, CT 06078-1343
(860) 214-7997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5962
CT
Other
Enumeration date
12/01/2022
Last updated
01/12/2023
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