Individual
MRS. CAROL JANE GAMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., M.A., LPC
Contact information
Practice address
140 GLASTONBURY BOULEVARD, SUITE 30, GLASTONBURY, CT 06033
(860) 878-4920
Mailing address
140 GLASTONBURY BOULEVARD, SUITE 30, GLASTONBURY, CT 06033
(860) 878-4920
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000426
CT
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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