ANN M BLACK
Professional Counselor


Address: 301 Palamar Drive, Fairfield, CT 06430

ANN M BLACK (Credential# 770090) is licensed (Professional Counselor) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2009. The license expiration date date is November 30, 2010. The license status is INACTIVE.

Business Overview

ANN M BLACK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #46.000806. The credential type is professional counselor. The effective date is December 1, 2009. The expiration date is November 30, 2010. The business address is 301 Palamar Drive, Fairfield, CT 06430. The current status is inactive.

Basic Information

Licensee Name ANN M BLACK
Credential ID 770090
Credential Number 46.000806
Credential Type Professional Counselor
Business Address 301 Palamar Drive
Fairfield
CT 06430
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-09-08
Effective Date 2009-12-01
Expiration Date 2010-11-30
Refresh Date 2011-03-02

Office Location

Street Address 301 Palamar Drive
City Fairfield
State CT
Zip Code 06430

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City Fairfield
Zip Code 06430
License Type Professional Counselor
License Type + County Professional Counselor + Fairfield

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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