| Doctor Name: | MR. MARK C VANACORE |
| NPI Number: | 1003872383 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 001205 |
| Business Practice Address: | 871 State St New Haven, CT - 065113923 |
| Business Phone Number: | 2037769900 |
| Business Fax Number: | 2033878522 |
| Mailing Address: | 1430 Little Meadow Rd, GUILFORD |
| State: | CT |
| Postal Code: | 064375000 |
| Phone Number: | 2034534457 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 001205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |