Individual
KIMBERLY E YOUSCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3075
(203) 503-3296
Mailing address
400 COLUMBUS AVENUE, NEW HAVEN, CT 06519-1233
(203) 503-3075
(203) 503-3296
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002691
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
04/06/2015
Last updated
04/06/2015
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