Individual
GARY VERTULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 ROBIN ST, BRIDGEPORT, CT 06606-4440
(203) 394-2595
(203) 332-1629
Mailing address
260 ROBIN ST, BRIDGEPORT, CT 06606-4440
(203) 394-2595
(203) 332-1629
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001749
CT
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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