Doctor Name: | MARK J COUTURE |
NPI Number: | 1447591318 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.P.C. |
License Number: | 002316 |
Business Practice Address: | 710 Main St Bldg. 3, Suit 9 Plantsville, CT - 064791565 |
Business Phone Number: | 8606705120 |
Business Fax Number: | |
Mailing Address: | 158 Hall Ave, Ctstrt MERIDEN |
State: | CT |
Postal Code: | 064507726 |
Phone Number: | 8606705120 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2013 |
NPI Last Update Date: | 03/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 002316 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |