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Organization

LIFE'S JOURNEY COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS GAUGHAN LPC/LADC (OWNER)
(860) 634-0967
Entity
Organization

Contact information

Practice address
70 MAIN ST, GRISWOLD, CT 06351-2226
(860) 634-0967
Mailing address
PO BOX 296, ROGERS, CT 06263-0296
(860) 634-0967

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor

Other

Enumeration date
11/30/2020
Last updated
12/04/2020
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