Individual
LAUREN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
232 CEDAR ST, NEW HAVEN, CT 06519-1610
(203) 503-3000
(203) 401-3352
Mailing address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002554
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023170
—
CT
05
—
008024427
—
CT
05
—
008042339
—
CT
01
—
008053322
MEDICAID # FONTANA
CT
Enumeration date
07/17/2014
Last updated
01/10/2024
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