Individual
MR. GERALD J GAURA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
10 DEPOT ST STE 100, COLLINSVILLE, CT 06019-4101
(860) 323-3624
Mailing address
507 DOWD AVE, CANTON, CT 06019-2441
(860) 451-9307
(855) 377-9142
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1666
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181523
—
CT
Enumeration date
04/22/2014
Last updated
01/02/2020
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