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Individual

GRETCHEN A COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
115 TECHNOLOGY DR UNIT B107, TRUMBULL, CT 06611-6338
(203) 727-4842
Mailing address
137 GARWOOD RD, TRUMBULL, CT 06611-2219
(203) 727-4842

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001873
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83-3340702
CT
Enumeration date
01/29/2019
Last updated
01/29/2019
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