Individual provider · Type 1 NPI

Madeline Mantilla, M.S.

Professional Counselor · Stamford, CT

NPI number 1184004335 Active

Practice location

401 Shippan Ave
Stamford, CT 06902-6075

Call (203) 517-3375 Map

Fax (203) 353-1524

Mailing address

180 Fairfield Ave
Bridgeport, CT 06604-4252

Other practice locations

  • 180 Fairfield Ave, Bridgeport, CT 06604-4252 · (203) 394-6529

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X003667 (CT)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1184004335

Madeline Mantilla, M.S.'s National Provider Identifier is 1184004335, issued on Jun 3, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stamford, CT. The record was last updated on Dec 3, 2019.