VICTORIA LARRIEU SEBOURNE


Address: 35 Montauk St, Fairfield, CT 06825-1606
Phone: 2033824654

VICTORIA LARRIEU SEBOURNE (NPI# 1447877964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447877964
Entity Type Individual
Full Name VICTORIA LARRIEU SEBOURNE
Practice Address 35 Montauk St
Fairfield
CT 06825-1606
Practice Telephone 2033824654
Mailing Telephone 2033824654
Enumeration Date 2020-06-30
Last Update Date 2020-06-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 004030 CT Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
004030 CT Behavioral Health & Social Service Providers

Office Location

Street Address 35 MONTAUK ST
City FAIRFIELD
State CT
Zip Code 06825-1606

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City FAIRFIELD
Zip Code 06825

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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