Individual
NATHAN PAUL GRANDPRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
117 NEW LONDON TPKE, GLASTONBURY, CT 06033
(860) 836-6002
Mailing address
117 NEW LONDON TPKE, GLASTONBURY, CT 06033-2184
(860) 836-6002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
003365
CT
Other
Enumeration date
08/26/2015
Last updated
06/19/2018
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