Individual
MS. LYNN K. PERSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
215 BROAD ST, MILFORD, CT 06460-4760
(203) 874-1781
Mailing address
215 BROAD ST, MILFORD, CT 06460-4760
(203) 874-1781
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000279
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000279CT01
ANTHEM BC & BS PROV. NO.
CT
01
—
283586
MHN PROVIDER NUMBER
CT
Enumeration date
01/19/2007
Last updated
07/08/2007
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