Individual
DOUGLAS LAMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
35 TOWER LN, AVON, CT 06001-4237
(860) 284-0048
Mailing address
35 TOWER LN, AVON, CT 06001-4237
(860) 284-0048
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003620
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003620
STATE OF CT LPC LIC NUMBER
CT
Enumeration date
06/25/2019
Last updated
06/25/2019
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