Individual
LISBETH GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
147 DURHAM RD STE 13, MADISON, CT 06443-2678
(860) 575-8700
Mailing address
446 EVERGREEN AVE, HAMDEN, CT 06518-2406
(860) 575-8700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002159
CT
Other
Enumeration date
02/02/2012
Last updated
06/26/2025
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