Individual
LOURIE C BONSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
66 CEDAR ST STE 201, NEWINGTON, CT 06111-2646
(860) 665-0200
(860) 540-1609
Mailing address
66 CEDAR ST STE 201, NEWINGTON, CT 06111-2646
(860) 665-0200
(860) 540-1609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5706
CT
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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