Organization
SHORELINE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MINK LPC (OWNER)
(401) 226-7407
Entity
Organization
Contact information
Practice address
701 WILCOX ROAD SUITE 107F, STONINGTON, CT 06378-2614
(401) 226-7407
Mailing address
701 WILCOX ROAD, SUITE 107F, STONINGTON, CT 06378
(401) 226-7407
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002446
CT
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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