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Individual

MR. MATTHEW FERREIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
48 HOWE ST STE 4, NEW HAVEN, CT 06511-4620
(833) 999-7662
Mailing address
48 HOWE ST STE 4, NEW HAVEN, CT 06511-4620
(833) 999-7662

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
82070400001
CT
101YP1600X
Pastoral Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85-4047542
DEPARTMENT OF PUBLIC HEALTH
CT
01
XGN9990876089
ANTHEM
CT
Enumeration date
03/20/2012
Last updated
01/03/2021
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