| Victoria Shumard | |
|
24 Lighthouse Way Darien CT 06820-5612 | |
| (203) 584-4575 | |
| Not Available |
| Full Name | Victoria Shumard |
|---|---|
| Speciality | Counselor - Professional |
| Location | 24 Lighthouse Way, Darien, Connecticut |
| Authorized Official Name and Position | Victoria Shumard (LPC/OWNER) |
| Authorized Official Contact | 2035844575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Shumard 935 Old Manchester Rd Peru VT 05152-9713 Ph: (203) 584-4575 | Victoria Shumard 24 Lighthouse Way Darien CT 06820-5612 Ph: (203) 584-4575 |
| NPI Number | 1811779275 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811779275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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