Individual
MS. GWENDOLYN ELAINE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 TALCOTTVILLE RD STE 10, VERNON, CT 06066-5261
(860) 558-2554
Mailing address
35 TALCOTTVILLE ROAD, #1031, SUITE 10, VERNON, CT 06066-3600
(860) 558-2554
(860) 454-5024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009786
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008075847
—
CT
Enumeration date
09/27/2017
Last updated
11/08/2022
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