Individual
ERNEST CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 253-5020
(860) 253-5030
Mailing address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 253-5020
(860) 253-5030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003311
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2014
Last updated
11/21/2017
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