Perez-Maddelena, Yasmin
Perez-Maddelena, Yasmin is an individual health care provider with primary practice located at 1046 Fairfield Ave 1046 Fairfield Ave, Bridgeport CT 06605-1116. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Perez-Maddelena, Yasmin can be contacted via phone (203) 330-6054.Contact Information
Primary practice address
1046 Fairfield Ave 1046 Fairfield Ave
Bridgeport CT 06605-1116
Phone: (203) 330-6054
Fax: (203) 331-4716
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 002430 | Connecticut |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 002430 | Connecticut |
Profile Details
NPI number | 1689885667 |
---|---|
LBN Legal business name | Perez-Maddelena, Yasmin |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2007 |
Last updated | Nov 16th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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