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Individual

CHRISTINE ELIZABETH TIRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624
Mailing address
397 EASTERN ST APT F, NEW HAVEN, CT 06513-2369
(203) 903-8423

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3836
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004041000
CT
05
004217099
CT
05
008003745
CT
05
TIRADO-008091555
CT
Enumeration date
10/17/2019
Last updated
06/09/2023
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