Individual
MR. JOHN DAVID PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
425 MIDDLE TPKE, STORRS, CT 06268-1641
(860) 429-0345
Mailing address
425 MIDDLE TPKE, STORRS, CT 06268-1641
(860) 429-0345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002094
CT
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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