Individual
MARIYAH CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
869 WHALLEY AVE, NEW HAVEN, CT 06515-1728
(475) 238-2790
Mailing address
3 STRONG ST, NEW HAVEN, CT 06515-1209
(203) 641-0825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
04/22/2020
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