Individual
KIRAN SHABBIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1000 LAFAYETTE BLVD, BRIDGEPORT, CT 06604-4725
(475) 255-7426
Mailing address
1000 LAFAYETTE BLVD, BRIDGEPORT, CT 06604-4725
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7536
CT
Other
Enumeration date
07/16/2024
Last updated
10/11/2024
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