Individual
GEORGE WASSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC, CEAP
Contact information
Practice address
2505 MAIN ST, STRATFORD, CT 06615-5839
(203) 375-5782
(203) 375-3048
Mailing address
48 MELROSE AVE, BRIDGEPORT, CT 06605-3056
(203) 520-2770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000494
CT
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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