Individual
RICHARD HISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 MAIN ST STE 1, KILLINGLY, CT 06239-2169
(860) 774-6295
(860) 779-6295
Mailing address
535 MAIN ST STE 1, KILLINGLY, CT 06239-2169
(860) 774-6295
(860) 774-6295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
003369
CT
Other
Enumeration date
05/23/2016
Last updated
06/22/2021
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