Individual
CHARLES PATERNINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT-A
Contact information
Practice address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-5500
(203) 368-1239
Mailing address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-5500
(203) 368-1239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2974
CT
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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