Individual
MARQUET SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCA
Contact information
Practice address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3000
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CT
101YP2500X
Professional Counselor
Primary
004771
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
004217099
—
CT
05
—
008003745
—
CT
Enumeration date
05/15/2017
Last updated
03/18/2021
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