Individual
EMILY ELIZABETH SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
40 TEMPLE STREET, STE 7C, YALE CHILD OUTPATIENT CLINIC, NEW HAVEN, CT 06510
(203) 432-2305
Mailing address
40 TEMPLE STREET, STE 7C, YALE CHILD OUTPATIENT CLINIC, NEW HAVEN, CT 06510
(203) 432-2305
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3682
CT
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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