Individual
MS. CAROLINA BUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
400 COLUMBUS AVE, APC, NEW HAVEN, CT 06519-1233
(203) 503-3075
(203) 503-3296
Mailing address
2911 DIXWELL AVE STE B-11, HAMDEN, CT 06518-3152
(203) 892-4215
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2120
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
02/07/2018
Last updated
07/09/2020
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