Individual
JULIE BOARDSEN-BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7 MASONS ISLAND RD, MYSTIC, CT 06355-2938
(860) 536-2145
Mailing address
PO BOX 103, WEST MYSTIC, CT 06388-0103
(860) 536-2145
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001584
CT
Other
Enumeration date
06/05/2007
Last updated
03/26/2009
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