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MR. GERALD J GAURA LMFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1295155893

Individual Registrant:
MR. GERALD J GAURA LMFT
Gender: M
Sole Proprietor

Location and contact information for practice:
10 DEPOT ST STE 100  COLLINSVILLE, CT 06019-4101 US
Tel: 860-323-3624  Fax: --

Contact information for business:
507 DOWD AVE  CANTON, CT 06019-2441 US
Tel: 860-451-9307  Fax: 855-377-9142

Registration Information:
NPI: 1295155893
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CT1666

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
181523CT05




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