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Michael Mutart
Professional Counselor in Enfield, Connecticut
NPI 1427443258

Michael Mutart is a Professional Counselor based in Enfield, CT and is specialized in Professional. Michael Mutart practices in Enfield, CT. The NPI Number for Michael Mutart is 1427443258 and holds a License No. 4326 (Connecticut).

The current practice location address for Michael Mutart is 585 Hazard Ave, Enfield, CT and can be reached out via phone at 413-237-2973.

Location: 585 Hazard Ave, Enfield, CT, 06082-3048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427443258
Provider Name
Michael Mutart
Credential
Provider Entity Type
Individual
Gender
Male
Address
585 Hazard Ave, Enfield, CT, 06082-3048
Phone Number
413-237-2973
Fax Number
Provider Enumeration Date
03/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
585 Hazard Ave
City
Enfield
State
Connecticut
Zip
06082-4241
Phone Number
413-237-2973
Fax Number
person
Provider Business Mailing Address Details
Address
585 Hazard Ave
City
Enfield
State
Connecticut
Zip
06082-4241
Phone Number
413-237-2973
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
002712 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4326 (Massachusetts)
Definition
Definition to come...
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