Individual
JUSTIN MINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
43 BROAD ST, 3RD FLOOR, SUITE D, UNIT 2, WESTERLY, RI 02891-1977
(401) 226-7407
Mailing address
PO BOX 1085, PAWCATUCK, CT 06379-0085
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002446
CT
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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