person
Mrs. Madeline Mantilla, MS
Professional Counselor in Stamford, Connecticut
NPI 1184004335

Madeline Mantilla is a Professional Counselor based in Bridgeport, CT and is specialized in Professional. Madeline Mantilla practices in Stamford, CT and has the professional credentials of MS. The NPI Number for Madeline Mantilla is 1184004335 and holds a License No. 003667 (Connecticut).

The current practice location address for Madeline Mantilla is 401 Shippan Ave, Stamford, CT and can be reached out via phone at 203-517-3375 and via fax at 203-353-1524.

Location: 401 Shippan Ave, Stamford, CT, 06604-4252
person
Provider Profile Details
NPI Number
1184004335
Provider Name
Madeline Mantilla
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
401 Shippan Ave, Stamford, CT, 06604-4252
Phone Number
203-517-3375
Fax Number
203-353-1524
Provider Enumeration Date
06/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Shippan Ave
City
State
Zip
06902-6075
Phone Number
203-517-3375
Fax Number
203-353-1524
person
Provider Business Mailing Address Details
Address
401 Shippan Ave
City
State
Zip
06902-6075
Phone Number
203-517-3375
Fax Number
203-353-1524
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
003667 (Connecticut)
Definition
Definition to come...
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