Individual
MR. SEAN M MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
62 GRANT STREET, GRANT STREET PARTNERSHIP, NEW HAVEN, CT 06519-0651
(203) 503-3350
(203) 503-3370
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3469
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
08/16/2018
Last updated
08/16/2018
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