Individual
MS. VIRGINIA EILEEN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
7 SOUTH MAIN ST, BRANFORD, CT 06405
(203) 488-1886
(203) 481-7634
Mailing address
7 SOUTH MAIN ST, BRANFORD, CT 06405
(203) 488-1886
(203) 481-7634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000969
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000969CT01
ANTHEM BEHAVIORAL HEALTH
CT
01
—
376663
MHN HEALTHNETS BEHAVIORAL
CT
01
—
7066592
AETNA BEHAVIORAL HEALTH
CT
Enumeration date
06/15/2007
Last updated
07/08/2007
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