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Individual

CARLOS ENRIQUE RIOLLANO BAYOUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, LPC

Contact information

Practice address
104 WAUWINET TRL, GUILFORD, CT 06437-1152
(787) 717-8466
Mailing address
104 WAUWINET TRL, GUILFORD, CT 06437-1152
(787) 717-8466

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005675
CT
103TC1900X
Counseling Psychologist

Other

Enumeration date
12/04/2020
Last updated
10/11/2024
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