Individual
MRS. COURTNEY LEIGH BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 ELM ST, OLD SAYBROOK, CT 06475-4105
(860) 388-9656
(860) 388-9463
Mailing address
130 ELM ST, OLD SAYBROOK, CT 06475-4105
(860) 388-9656
(860) 388-9463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7955
CT
Other
Enumeration date
05/12/2012
Last updated
10/18/2021
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