Individual
MARIAH CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC-A
Contact information
Practice address
98 EAST AVE, NORWALK, CT 06851-5029
(203) 580-6660
Mailing address
66 SUMMER ST UNIT 102, STAMFORD, CT 06901-2316
(570) 852-7424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6725
CT
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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