Individual
MARK THOMAS BUGNACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
26 N MAIN ST STE 2A, SOUTHINGTON, CT 06489-2572
(860) 276-3000
Mailing address
395 SHUTTLE MEADOW AVE, NEW BRITAIN, CT 06052-1844
(860) 224-3990
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002096
CT
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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