Individual
TERRY MCEACHNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
226 DIXWELL AVE, NORTHSIDE, NEW HAVEN, CT 06511-3456
(203) 503-3470
(203) 503-3478
Mailing address
91 GOODYEAR ST, NEW HAVEN, CT 06511-1010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3434
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031152
—
CT
Enumeration date
06/07/2007
Last updated
01/27/2020
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