Individual
GREGORY JAMES VAVREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 BROAD ST, PLAINVILLE, CT 06062-4201
(860) 410-6535
Mailing address
160 PINNACLE RD, BRISTOL, CT 06010-2219
(303) 885-6451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3164
CT
Other
Enumeration date
06/04/2012
Last updated
06/14/2021
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