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JULIE BOARDSEN-BEAN LPC

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

Registrant NPI Number: 1518169119

Individual Registrant:
 JULIE  BOARDSEN-BEAN LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
7 MASONS ISLAND RD  MYSTIC, CT 06355-2938 US
Tel: 860-536-2145  Fax: --

Contact information for business:
PO BOX 103  WEST MYSTIC, CT 06388-0103 US
Tel: 860-536-2145  Fax: --

Registration Information:
NPI: 1518169119
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
CT001584

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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