Individual
YASMIN PEREZ-MADDELENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1046 FAIRFIELD AVE, 1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6054
(203) 331-4716
Mailing address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 332-3556
(203) 382-1468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002430
CT
106H00000X
Marriage & Family Therapist
002430
CT
Other
Enumeration date
05/24/2007
Last updated
11/16/2017
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