Individual
ROYCE HOLDEN MANIFOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
711 SAVIN AVE, WEST HAVEN, CT 06516-4335
(203) 931-1184
(475) 234-0805
Mailing address
200 ELM ST APT 314, WEST HAVEN, CT 06516-4665
(860) 382-8320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7831
CT
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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