Individual
MATTHEW CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 BLOOMFIELD AVE, STE 301, WINDSOR, CT 06095-2700
(860) 607-3235
(860) 607-3201
Mailing address
360 BLOOMFIELD AVE, STE 301, WINDSOR, CT 06095-2700
(860) 607-3235
(860) 607-3201
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002674
CT
Other
Enumeration date
11/12/2014
Last updated
01/05/2017
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