Individual
DR. ALICIA BRENGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MS
Contact information
Practice address
500 POQUONNOCK RD, GROTON, CT 06340-4568
(860) 445-2191
(860) 449-1869
Mailing address
255 HEMPSTEAD ST, NEW LONDON, CT 06320-6204
(860) 443-2896
(860) 442-5909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
004342
CT
Other
Enumeration date
01/14/2019
Last updated
07/09/2021
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