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JULIE BOARDSEN-BEAN LPC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1518169119
Individual Registrant: JULIE BOARDSEN-BEAN LPC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
7 MASONS ISLAND RD MYSTIC, CT 06355-2938 US
Tel: 860-536-2145 Fax: --
Tel: 860-536-2145 Fax: --
Contact information for business:
PO BOX 103 WEST MYSTIC, CT 06388-0103 US
Tel: 860-536-2145 Fax: --
Tel: 860-536-2145 Fax: --
Registration Information:
NPI: 1518169119
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | CT | 001584 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
