person
Charmaine Ann Marie Wallen
Professional Counselor in Bridgeport, Connecticut
NPI 1891143319

Charmaine Ann Marie Wallen is a Professional Counselor based in Bridgeport, CT and is specialized in Professional. Charmaine Ann Marie Wallen practices in Bridgeport, CT. The NPI Number for Charmaine Ann Marie Wallen is 1891143319 and holds a License No. 002842 (Connecticut).

The current practice location address for Charmaine Ann Marie Wallen is 1470 Barnum Ave, Bridgeport, CT and can be reached out via phone at 203-332-4940 and via fax at 203-332-3219.

Location: 1470 Barnum Ave, Bridgeport, CT, 06610-3237
person
Provider Profile Details
NPI Number
1891143319
Provider Name
Charmaine Ann Marie Wallen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1470 Barnum Ave, Bridgeport, CT, 06610-3237
Phone Number
203-332-4940
Fax Number
203-332-3219
Provider Enumeration Date
05/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1470 Barnum Ave
City
State
Zip
06610-3237
Phone Number
203-332-4940
Fax Number
203-332-3219
person
Provider Business Mailing Address Details
Address
1470 Barnum Ave
City
State
Zip
06610-3237
Phone Number
203-332-4940
Fax Number
203-332-3219
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
002842 (Connecticut)
Definition
Definition to come...
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