Provider Demographics
NPI:1366261679
Name:SYLVAIN, MARC STEEVE (LPC-A)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:STEEVE
Last Name:SYLVAIN
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 BANK ST
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-2703
Mailing Address - Country:US
Mailing Address - Phone:860-440-7887
Mailing Address - Fax:860-437-2388
Practice Address - Street 1:932 BANK ST
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-2703
Practice Address - Country:US
Practice Address - Phone:860-440-7887
Practice Address - Fax:860-437-2388
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7067101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor