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Individual

GRACE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
(203) 301-2397
Mailing address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
(203) 301-2397

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002279
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004039244
CT
01
77ABH0005CT01
ANTHEM BEHAVIORAL HEALTH
CT
01
ANC 1406
OXFORD HEALTH PLANS
CT
Enumeration date
11/28/2012
Last updated
01/22/2026
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