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John D. Berube, LMFT

Marriage & Family Therapist in Fairfield, CT. Individual provider (NPI-1).

NPI number1053522698
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1053522698
Entity type
Individual (NPI-1)
Name
Mr. John D. Berube
Credential
LMFT
Sex
Male
Sole proprietor
Yes
Enumeration date
May 25, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist000848CTYes

Practice location

61 Buena Vista Rd
Fairfield, CT 06825-1677

Phone 203-374-9077

Mailing address

61 Buena Vista Rd
Fairfield, CT 06825-1677

Phone 203-374-9077

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