Individual
STEPHAN GENOVESE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1720 POST RD E STE 123, WESTPORT, CT 06880-5643
(203) 255-0301
Mailing address
1720 POST RD E STE 123, WESTPORT, CT 06880-5643
(203) 255-0301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003300
CT
Other
Enumeration date
07/06/2016
Last updated
12/19/2017
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