Individual
BETHANY GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21 MONTAUK AVE, NEW LONDON, CT 06320-4906
(860) 443-0530
(860) 443-0536
Mailing address
20 BATTERSON PARK RD, SUITE 300, FARMINGTON, CT 06032-4502
(860) 284-1177
(860) 284-1125
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002515
CT
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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