Organization
SHORELINE PASTORAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD CORNELL III LPC (PROVIDER)
(860) 301-6600
Entity
Organization
Contact information
Practice address
35 BOSTON ST, GUILFORD, CT 06437-2817
(860) 301-6600
Mailing address
16 SPERRY RD, MADISON, CT 06443-1737
(860) 301-6600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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