Individual provider · Type 1 NPI
John David Lieberman, LPC
Professional Counselor · West Haven, CT
NPI number
1073804290
Active
Practice location
415 Main St
West Haven, CT 06516-4296
Fax (203) 931-0063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 002039 (CT) |
Professional Counselor: Definition to come...
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About NPI 1073804290
John David Lieberman, LPC's National Provider Identifier is 1073804290, issued on Apr 21, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Haven, CT. The record was last updated on Nov 5, 2012.