Individual
MR. DENNIS EARL SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LADC
Contact information
Practice address
896 ASYLUM AVE, HARTFORD, CT 06105-1901
(860) 680-5918
(860) 527-1919
Mailing address
501 LOMBARD ST, NEW HAVEN, CT 06513-2910
(860) 680-5918
(860) 527-1919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
830
CT
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
8160
CT
Other
Enumeration date
05/08/2007
Last updated
11/24/2014
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