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BETHANY FOURNIER LADC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1861998825

Individual Registrant:
 BETHANY  FOURNIER LADC
Gender: F
Sole Proprietor

Location and contact information for practice:
55 CROUCH RD  AMSTON, CT 06231-1612 US
Tel: 860-383-9238  Fax: --

Contact information for business:
55 CROUCH RD  AMSTON, CT 06231-1612 US
Tel: 860-383-9238  Fax: --

Registration Information:
NPI: 1861998825
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
CT001284

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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