Individual
MS. GINA L DUTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
86 BRADLEY RD, MADISON, CT 06443-2644
(203) 245-0412
(203) 612-9030
Mailing address
86 BRADLEY RD, MADISON, CT 06443-2644
(203) 245-0412
(203) 612-9030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4735
CT
Other
Enumeration date
07/09/2021
Last updated
06/08/2023
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