MR. MARK C VANACORE LPC NPI 1003872383

Counselor (Professional) in New Haven, CT

About MARK VANACORE

Mark Vanacore is a provider in New Haven, CT. The NPI number assigned to this provider is 1003872383. The practitioner's primary taxonomy code is Counselor (101YP2500X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003872383 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. MARK C VANACORE LPC
Provider Location Address871 STATE ST NEW HAVEN, CT 06511 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1430 LITTLE MEADOW RD GUILFORD, CT 06437 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-25-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. MARK C VANACORE LPC
871 STATE ST
NEW HAVEN, CT
ZIP 06511
Phone: (203) 776-9900
Fax: (203) 387-8522
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Mailing Address

MR. MARK C VANACORE LPC
1430 LITTLE MEADOW RD
GUILFORD, CT
ZIP 06437
Phone: (203) 453-4457

Primary Taxonomy

Taxonomy Code101YP2500X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional
License No.001205
License StateCT

Map Location


MR. MARK C VANACORE LPC address is 871 STATE ST NEW HAVEN, CT 06511

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114081783MR. ANDREW BECKLEY CADC
Individual
Counselor (Addiction (Substance Use Disorder))871 STATE ST
NEW HAVEN, CT 06511
(203) 787-2111
1588672828MS. REBECCA ANN LEHN MSW
Individual
871 STATE ST
NEW HAVEN, CT 06511
(203) 787-2111
1629132824 SOFIA QUIJANO LCSW
Individual
Social Worker (Clinical)871 STATE ST
NEW HAVEN, CT 06511
(203) 787-2111
1790734986MR. MATTHEW JOHN ABBOTT MSW
Individual
871 STATE ST
NEW HAVEN, CT 06511
(203) 787-2111