Individual
JOHN DAVID LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
(203) 931-0063
Mailing address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
(203) 931-0063
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002039
CT
Other
Enumeration date
04/21/2011
Last updated
11/05/2012
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