Individual
CHRISTOPHER MARTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6054
(203) 331-4716
Mailing address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6054
(203) 331-4716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X,
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
05/24/2007
Last updated
04/17/2012
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