Individual
JOHN-TYLER MARKETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELING
Contact information
Practice address
62 GRANT STREET, GRANT STREET PARTNERSHIP, NEW HAVEN, CT 06519-3456
(203) 503-3350
(203) 503-3370
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519
(203) 503-3000
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CT
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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