Individual
MARK AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, NCC, LPC
Contact information
Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
(203) 777-8506
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001831
CT
Other
Enumeration date
08/11/2011
Last updated
08/23/2011
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