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Individual

THOMAS CONNOLLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
76 W MAIN ST STE 202, HYANNIS, MA 02601-3752
(203) 434-3495
Mailing address
76 W MAIN ST STE 202, HYANNIS, MA 02601-3752
(203) 434-3495

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
9694
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9694
MA
101YM0800X
Mental Health Counselor
9694
MA

Other

Enumeration date
03/09/2017
Last updated
02/22/2019
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