Individual
MRS. JANIS HERLTH GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LPC, NBCC
Contact information
Practice address
423 MAIN STREET, STEPNEY BAPTIST CHURCH, MONROE, CT 06468
(203) 255-3401
(203) 268-1621
Mailing address
423 MAIN STREET, STEPNEY BAPTIST CHURCH, MONROE, CT 06468
(203) 255-3401
(203) 268-1621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001908
CT
101YP2500X
Professional Counselor
Primary
001908
CT
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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