Charmaine Ann Marie Wallen
Charmaine Ann Marie Wallen is a Professional Counselor in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2016.
- Licensed in
- CT
- In the registry since
- 2016
Practice location Address checks out
1470 Barnum Ave 303Bridgeport, CT 06610-3237
Phone: (203) 332-4940
Fax: (203) 332-3219
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 002842 (CT) |
|---|
Record details
| NPI number | 1891143319 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 25, 2016 |
| Last updated in NPPES | May 25, 2016 |
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