Organization
BLISS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA GIBSON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(203) 815-5061
Entity
Organization
Contact information
Practice address
91 SHELTON AVE, NEW HAVEN, CT 06511-1811
(203) 815-5061
Mailing address
63 CURTIS DR, NEW HAVEN, CT 06515-2307
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7950
CT
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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