Provider Demographics
NPI:1619398740
Name:LA MURA BARKER, MARIA LA MURA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LA MURA
Last Name:LA MURA BARKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:LA MURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 ROWAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06853
Mailing Address - Country:US
Mailing Address - Phone:203-858-1970
Mailing Address - Fax:203-642-3903
Practice Address - Street 1:55 ROWAYTON AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06853
Practice Address - Country:US
Practice Address - Phone:203-858-1970
Practice Address - Fax:203-642-3903
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002294101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor