Organization
MGADAMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA GAUDREAU ADAMS LPC (MANAGING MEMBER)
(860) 869-2774
Entity
Organization
Contact information
Practice address
945 MAIN ST, SUITE 211, MANCHESTER, CT 06040-6064
(860) 869-2774
Mailing address
PO BOX 1104, GLASTONBURY, CT 06033-6104
(860) 869-2774
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2375
CT
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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