Organization
CLINICAL COUCH OF CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY FOURNIER LADC (MEMBER)
(860) 383-9238
Entity
Organization
Contact information
Practice address
2389 MAIN ST, GLASTONBURY, CT 06033-4617
(860) 255-2262
Mailing address
55 CROUCH RD, AMSTON, CT 06231-1612
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
03/31/2026
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