Individual
SHANNON MULZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
225 SUMMER ST, BRISTOL, CT 06010-5016
(631) 793-6848
Mailing address
225 SUMMER ST, BRISTOL, CT 06010-5016
(631) 793-6848
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3355
CT
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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