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MR. MATTHEW JOHN ABBOTT MSW

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1790734986

Individual Registrant:
MR. MATTHEW JOHN ABBOTT MSW
Gender: M

Location and contact information for practice:
871 STATE ST  NEW HAVEN, CT 06511-3923 US
Tel: 203-787-2111  Fax: 203-397-9077

Contact information for business:
40 CORTINA RD  EAST HAVEN, CT 06513-1305 US
Tel: 203-466-3153  Fax: --

Registration Information:
NPI: 1790734986
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X101Y00000XBehavioral Health & Social Service Providers
Counselor
X101YA0400XBehavioral Health & Social Service Providers
Counselor
X101YM0800XBehavioral Health & Social Service Providers
Counselor
X104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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