Individual
LISA ANN COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
76 HURD ST, FAIRFIELD, CT 06824-5811
(203) 904-7832
Mailing address
76 HURD ST, FAIRFIELD, CT 06824-5811
(203) 904-7832
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001528
CT
Other
Enumeration date
05/10/2007
Last updated
01/07/2015
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