Individual
DAWN GURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
112 MAIN STREET, SUITE #9, PUTNAM, CT 06260
(860) 963-3807
Mailing address
83 PERRY STREET, SUITE #172, PUTNAM, CT 06260
(860) 963-3807
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
000375
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000375CT02
ANTHEM BLUE CROSS BLUE SH
—
01
—
307498
MHN
—
01
—
536259
VALUE OPTIONS
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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