| Shoreline Counseling, Llc | |
|
701 Wilcox Road Suite 107f Stonington CT 06378-2614 | |
| (401) 226-7407 | |
| Not Available |
| Full Name | Shoreline Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 701 Wilcox Road Suite 107f, Stonington, Connecticut |
| Authorized Official Name and Position | Justin Mink (OWNER) |
| Authorized Official Contact | 4012267407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Counseling, Llc 701 Wilcox Road Suite 107f Stonington CT 06378 Ph: (401) 226-7407 | Shoreline Counseling, Llc 701 Wilcox Road Suite 107f Stonington CT 06378-2614 Ph: (401) 226-7407 |
| NPI Number | 1972929396 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 03/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972929396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002446 (Connecticut) | Primary |
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