Individual provider · Type 1 NPI
Mary Gates
Counselor · New Haven, CT
NPI number
1053074492
Active
Practice location
55 Pond St
New Haven, CT 06511-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 001400 (CT) |
Counselor: 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's degree and clinical experience and supervision for licensure or certification.
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About NPI 1053074492
Mary Gates's National Provider Identifier is 1053074492, issued on Oct 21, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in New Haven, CT. The record was last updated on Oct 21, 2021.