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Individual

MICHAEL CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
233 MAIN ST, NEW BRITAIN, CT 06051-4204
(617) 459-5519
Mailing address
85 PINE BROOK TER APT 2, BRISTOL, CT 06010-7428
(617) 459-5519

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
46.003756
CT
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
261QP2300X
Primary Care Clinic/Center
3756
CT

Other

Enumeration date
10/27/2014
Last updated
04/01/2022
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