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Individual

MARK J COUTURE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.C.

Contact information

Practice address
710 MAIN ST, BLDG. 3, SUIT 9, PLANTSVILLE, CT 06479-1565
(860) 670-5120
Mailing address
158 HALL AVE, CTSTRT, MERIDEN, CT 06450-7726
(860) 670-5120

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
002316
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
002316
CT
101YM0800X
Mental Health Counselor
002316
CT
101YP2500X
Professional Counselor
Primary
002316
CT

Other

Enumeration date
03/02/2013
Last updated
03/02/2013
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