Individual
AUSTIN PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
64 THOMPSON ST STE A105, EAST HAVEN, CT 06513-5700
(203) 635-8350
Mailing address
637 KING ST, STRATFORD, CT 06614-4919
(203) 521-1466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3514
CT
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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