Individual
MS. MADELINE LUISA MANDEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
208 VALLEY RD, NEW CANAAN, CT 06840-3899
(886) 542-4455
Mailing address
285 CORAM AVE, SHELTON, CT 06484-3255
(203) 801-3489
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8993
CT
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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