Individual
JULIA MARY BOMBASSEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
300 HEBRON AVE, GLASTONBURY, CT 06033-2176
(860) 946-0447
Mailing address
166 QUEEN ST APT 1, BRISTOL, CT 06010-5853
(860) 960-6293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7541
CT
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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