Individual
VICTORIA LARRIEU SEBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MONTAUK ST, FAIRFIELD, CT 06825-1606
(203) 382-4654
Mailing address
35 MONTAUK ST, FAIRFIELD, CT 06825-1606
(203) 382-4654
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
004030
CT
101YP2500X
Professional Counselor
Primary
004030
CT
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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