Individual
JEFFREY ALFONSO GUANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
130 ELM ST, OLD SAYBROOK, CT 06475-4105
(860) 388-9656
Mailing address
130 ELM ST, OLD SAYBROOK, CT 06475-4105
(860) 388-9656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6104
CT
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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