Individual
MS. SUZANNE CHAMPAGNE MCCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPC
Contact information
Practice address
250 W MAIN ST, BRANFORD, CT 06405-4032
(203) 804-9448
Mailing address
250 W MAIN ST, BRANFORD, CT 06405-4032
(203) 804-9448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001436
CT
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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