Individual
ETHAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
451 STATE ST, NORTH HAVEN, CT 06473-3070
(203) 768-7653
Mailing address
451 STATE ST, NORTH HAVEN, CT 06473-3070
(203) 768-7653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2614
CT
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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