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Tylice C Macdonald
Professional Counselor in Bridgeport, Connecticut
NPI 1528582830

Tylice C Macdonald is a Professional Counselor based in Bridgeport, CT and is specialized in Professional. Tylice C Macdonald practices in Bridgeport, CT. The NPI Number for Tylice C Macdonald is 1528582830 and holds a License No. (Connecticut).

The current practice location address for Tylice C Macdonald is 170 Bennett Street, Bridgeport, CT and can be reached out via phone at 203-330-6790.

Location: 170 Bennett Street, Bridgeport, CT, 06605-2901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528582830
Provider Name
Tylice C Macdonald
Credential
Provider Entity Type
Individual
Gender
Female
Address
170 Bennett Street, Bridgeport, CT, 06605-2901
Phone Number
203-330-6790
Fax Number
Provider Enumeration Date
07/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
170 Bennett Street
City
Bridgeport
State
Connecticut
Zip
06605
Phone Number
203-330-6790
Fax Number
person
Provider Business Mailing Address Details
Address
170 Bennett Street
City
Bridgeport
State
Connecticut
Zip
06605
Phone Number
203-330-6790
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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